Provider Demographics
NPI:1740457001
Name:DOOR TO DOOR INCORPORATED
Entity type:Organization
Organization Name:DOOR TO DOOR INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAKIESHA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CHILD OF GOD
Authorized Official - Phone:323-298-1345
Mailing Address - Street 1:PO BOX 43369
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-0369
Mailing Address - Country:US
Mailing Address - Phone:323-298-1345
Mailing Address - Fax:323-298-0788
Practice Address - Street 1:4704 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-1232
Practice Address - Country:US
Practice Address - Phone:323-298-1345
Practice Address - Fax:323-298-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA-268392343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHX0153OtherSOUTHERN CALIFORNIA REGIONAL CENTER