Provider Demographics
NPI:1275304289
Name:DARITI TRANSPORTATION LLC.
Entity Type:Organization
Organization Name:DARITI TRANSPORTATION LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWAGBENGA
Authorized Official - Middle Name:CHRIS
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-206-1342
Mailing Address - Street 1:63 MIDDLESEX ST STE 12
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1584
Mailing Address - Country:US
Mailing Address - Phone:164-620-6134
Mailing Address - Fax:
Practice Address - Street 1:63 MIDDLESEX ST STE 12
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1584
Practice Address - Country:US
Practice Address - Phone:164-620-6134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DARITI TRANSPORTATION LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company