Provider Demographics
NPI:1396453296
Name:LEVINE&HUDSONSERVICES
Entity type:Organization
Organization Name:LEVINE&HUDSONSERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MONALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:743-222-9590
Mailing Address - Street 1:406 STADIUM ST
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-2530
Mailing Address - Country:US
Mailing Address - Phone:743-222-9590
Mailing Address - Fax:
Practice Address - Street 1:406 STADIUM ST
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-2530
Practice Address - Country:US
Practice Address - Phone:743-222-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEVINE & HUDSON SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle