Provider Demographics
NPI:1962037127
Name:A SQUARE TRANSPORTATION SERVICES INCORPORATED
Entity Type:Organization
Organization Name:A SQUARE TRANSPORTATION SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ALTAVIA
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC/SLP
Authorized Official - Phone:704-264-9297
Mailing Address - Street 1:13634 ROYALWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28274-4716
Mailing Address - Country:US
Mailing Address - Phone:704-264-9297
Mailing Address - Fax:704-583-2389
Practice Address - Street 1:13634 ROYALWOOD LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28274-4716
Practice Address - Country:US
Practice Address - Phone:704-264-9297
Practice Address - Fax:704-583-2389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker