Provider Demographics
NPI:1013489996
Name:MOSHLAW TRANSPORT
Entity type:Organization
Organization Name:MOSHLAW TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-228-5478
Mailing Address - Street 1:4 MARIGOLD CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-3866
Mailing Address - Country:US
Mailing Address - Phone:401-228-5478
Mailing Address - Fax:401-223-6865
Practice Address - Street 1:4 MARIGOLD CIR
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-3866
Practice Address - Country:US
Practice Address - Phone:401-228-5478
Practice Address - Fax:401-223-6865
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOSHLAW INVESTMENTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)