Provider Demographics
NPI:1134834708
Name:4WARD LOGISTICS MANAGEMENT INC
Entity type:Organization
Organization Name:4WARD LOGISTICS MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:WARD
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:917-751-6911
Mailing Address - Street 1:701 MAURY AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1821
Mailing Address - Country:US
Mailing Address - Phone:917-751-6911
Mailing Address - Fax:
Practice Address - Street 1:701 MAURY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1821
Practice Address - Country:US
Practice Address - Phone:917-751-6911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)