Provider Demographics
NPI:1861041170
Name:KINGS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:KINGS TRANSPORTATION LLC
Other - Org Name:KINGS TRANSPORTATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:601-540-5522
Mailing Address - Street 1:384 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:BENTONIA
Mailing Address - State:MS
Mailing Address - Zip Code:39040-9062
Mailing Address - Country:US
Mailing Address - Phone:601-540-5522
Mailing Address - Fax:
Practice Address - Street 1:384 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:BENTONIA
Practice Address - State:MS
Practice Address - Zip Code:39040-9062
Practice Address - Country:US
Practice Address - Phone:601-540-5522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)