Provider Demographics
NPI:1336806504
Name:WINDWARD TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:WINDWARD TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-558-3250
Mailing Address - Street 1:495 JACK MARTIN BLVD STE 6-7
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-7778
Mailing Address - Country:US
Mailing Address - Phone:732-538-5001
Mailing Address - Fax:
Practice Address - Street 1:495 JACK MARTIN BLVD STE 6-7
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7778
Practice Address - Country:US
Practice Address - Phone:732-538-5001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date: