Provider Demographics
NPI:1932341757
Name:ACCESSIBLE COMMUNITY TRANSPORTATION
Entity Type:Organization
Organization Name:ACCESSIBLE COMMUNITY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TILESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARBISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-337-9816
Mailing Address - Street 1:5300 IAN DR
Mailing Address - Street 2:
Mailing Address - City:MC LEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301-8123
Mailing Address - Country:US
Mailing Address - Phone:336-337-9816
Mailing Address - Fax:336-697-5659
Practice Address - Street 1:5300 IAN DR
Practice Address - Street 2:
Practice Address - City:MC LEANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27301-8123
Practice Address - Country:US
Practice Address - Phone:336-337-9816
Practice Address - Fax:336-697-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200895343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)