Provider Demographics
NPI:1649932872
Name:VERSATILE SOLUTIONS & LOGISTICS LLC
Entity type:Organization
Organization Name:VERSATILE SOLUTIONS & LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CREAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-213-0229
Mailing Address - Street 1:3804 JODY ST
Mailing Address - Street 2:
Mailing Address - City:MOSS POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39562-8246
Mailing Address - Country:US
Mailing Address - Phone:228-213-0229
Mailing Address - Fax:
Practice Address - Street 1:3804 JODY ST
Practice Address - Street 2:
Practice Address - City:MOSS POINT
Practice Address - State:MS
Practice Address - Zip Code:39562-8246
Practice Address - Country:US
Practice Address - Phone:228-213-0229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No251K00000XAgenciesPublic Health or Welfare
No347C00000XTransportation ServicesPrivate Vehicle
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty