Provider Demographics
NPI:1740977297
Name:CONSCIOUS CONTACT SERVICES LLC
Entity type:Organization
Organization Name:CONSCIOUS CONTACT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-678-1276
Mailing Address - Street 1:514 LINCOLN AVE SW
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-2010
Mailing Address - Country:US
Mailing Address - Phone:386-678-1276
Mailing Address - Fax:
Practice Address - Street 1:514 LINCOLN AVE SW
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064-2010
Practice Address - Country:US
Practice Address - Phone:386-678-1276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)