Provider Demographics
NPI:1811189038
Name:GOOD HANDS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GOOD HANDS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REV JEAN FORTUNE RAYMOND/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:FORTUNE
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-787-1628
Mailing Address - Street 1:6007 FIRETHORNE LN
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-9114
Mailing Address - Country:US
Mailing Address - Phone:704-787-1628
Mailing Address - Fax:704-784-5539
Practice Address - Street 1:6007 FIRETHORNE LN
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-9114
Practice Address - Country:US
Practice Address - Phone:704-787-1628
Practice Address - Fax:704-784-5539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)