Provider Demographics
NPI:1336299775
Name:TRANSPORTATION AND DELIVERY SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRANSPORTATION AND DELIVERY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EVERETT
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:478-320-4843
Mailing Address - Street 1:PO BOX 6705
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31208-6705
Mailing Address - Country:US
Mailing Address - Phone:478-320-4843
Mailing Address - Fax:206-984-4188
Practice Address - Street 1:910 W GRENADA TER
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-2410
Practice Address - Country:US
Practice Address - Phone:478-320-4843
Practice Address - Fax:206-984-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)