Provider Demographics
NPI:1033905278
Name:MAJESTIC MOBILITY
Entity type:Organization
Organization Name:MAJESTIC MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KANWALSKI
Authorized Official - Middle Name:V
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-356-9787
Mailing Address - Street 1:533 CAUTHEN ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-4116
Mailing Address - Country:US
Mailing Address - Phone:770-356-9787
Mailing Address - Fax:
Practice Address - Street 1:533 CAUTHEN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-4116
Practice Address - Country:US
Practice Address - Phone:770-356-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)