Provider Demographics
NPI:1851098701
Name:MANILLA TRANSPORT LLC
Entity Type:Organization
Organization Name:MANILLA TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL TRANSPORTATION
Authorized Official - Prefix:
Authorized Official - First Name:CHERE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANOKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-830-7701
Mailing Address - Street 1:4749 SAMUELL BLVD APT 200
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1084
Mailing Address - Country:US
Mailing Address - Phone:903-830-7701
Mailing Address - Fax:
Practice Address - Street 1:4749 SAMUELL BLVD APT 200
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1084
Practice Address - Country:US
Practice Address - Phone:903-830-7701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle