Provider Demographics
NPI:1760197578
Name:KOOL DRIVE ENTERPRISE LLC
Entity Type:Organization
Organization Name:KOOL DRIVE ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-381-4994
Mailing Address - Street 1:1919 WESTWOOD LAKE CT
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2993
Mailing Address - Country:US
Mailing Address - Phone:346-381-4994
Mailing Address - Fax:
Practice Address - Street 1:1919 WESTWOOD LAKE CT
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2993
Practice Address - Country:US
Practice Address - Phone:346-381-4994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)