Provider Demographics
NPI:1902090996
Name:ARJENNA' PARABASIC TRANSPORT LLC
Entity Type:Organization
Organization Name:ARJENNA' PARABASIC TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RETTA
Authorized Official - Middle Name:JENNA
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-665-4321
Mailing Address - Street 1:81 OLD BUTTERMILK RD LOT 1
Mailing Address - Street 2:
Mailing Address - City:MONTEVALLO
Mailing Address - State:AL
Mailing Address - Zip Code:35115-9109
Mailing Address - Country:US
Mailing Address - Phone:205-665-4321
Mailing Address - Fax:205-664-9777
Practice Address - Street 1:81 OLD BUTTERMILK RD LOT 1
Practice Address - Street 2:
Practice Address - City:MONTEVALLO
Practice Address - State:AL
Practice Address - Zip Code:35115-9109
Practice Address - Country:US
Practice Address - Phone:205-665-4321
Practice Address - Fax:205-664-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-01
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport