Provider Demographics
NPI:1922316629
Name:ACT EXPRESS, INC.
Entity Type:Organization
Organization Name:ACT EXPRESS, INC.
Other - Org Name:DBA ADVANCED CARE TRANSPORTATION EXPRESS,
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LATRELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-942-9803
Mailing Address - Street 1:PO BOX 78431
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30357-2431
Mailing Address - Country:US
Mailing Address - Phone:404-942-9803
Mailing Address - Fax:404-942-9807
Practice Address - Street 1:2753 WATERS RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30354-2025
Practice Address - Country:US
Practice Address - Phone:404-942-9803
Practice Address - Fax:404-942-9807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACLASS IE5553343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)