Provider Demographics
NPI:1457117087
Name:MOTOR VEHICLE BUSINESS
Entity Type:Organization
Organization Name:MOTOR VEHICLE BUSINESS
Other - Org Name:MVB LOGISTICS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARCELL
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:BREVARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-640-9184
Mailing Address - Street 1:14951 RIVER WALK WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5943
Mailing Address - Country:US
Mailing Address - Phone:202-640-9184
Mailing Address - Fax:
Practice Address - Street 1:14951 RIVER WALK WAY
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5943
Practice Address - Country:US
Practice Address - Phone:202-640-9184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)