Provider Demographics
NPI:1295108447
Name:BLESSED NON-MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:BLESSED NON-MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEMENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-930-4923
Mailing Address - Street 1:2901 RIDGEVIEW DR
Mailing Address - Street 2:APT 2121
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-6454
Mailing Address - Country:US
Mailing Address - Phone:703-930-4923
Mailing Address - Fax:
Practice Address - Street 1:2901 RIDGEVIEW DR
Practice Address - Street 2:APT 2121
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-6454
Practice Address - Country:US
Practice Address - Phone:703-930-4923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)