Provider Demographics
NPI:1639663743
Name:DISTRICT DRIVING LLC
Entity type:Organization
Organization Name:DISTRICT DRIVING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BANKS-BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-229-5669
Mailing Address - Street 1:1594 PIN OAK DR.
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601
Mailing Address - Country:US
Mailing Address - Phone:240-229-5669
Mailing Address - Fax:509-351-0190
Practice Address - Street 1:10052 WAMSLEY CT
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3281
Practice Address - Country:US
Practice Address - Phone:240-229-5669
Practice Address - Fax:509-351-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)