Provider Demographics
NPI:1801659438
Name:PLG RESOURCE AGENCY
Entity type:Organization
Organization Name:PLG RESOURCE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-481-5473
Mailing Address - Street 1:3340 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-2642
Mailing Address - Country:US
Mailing Address - Phone:573-481-5473
Mailing Address - Fax:
Practice Address - Street 1:3340 GREENWAY DR
Practice Address - Street 2:
Practice Address - City:HORN LAKE
Practice Address - State:MS
Practice Address - Zip Code:38637-2642
Practice Address - Country:US
Practice Address - Phone:573-481-5473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No342000000XTransportation ServicesTransportation Network Company