Provider Demographics
NPI:1245917103
Name:WILLOW TRANSIT LLC
Entity type:Organization
Organization Name:WILLOW TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODA
Authorized Official - Middle Name:DAHIR
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-707-6231
Mailing Address - Street 1:1239 EARLY TWILIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-8627
Mailing Address - Country:US
Mailing Address - Phone:614-707-6231
Mailing Address - Fax:
Practice Address - Street 1:1239 EARLY TWILIGHT WAY
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-8627
Practice Address - Country:US
Practice Address - Phone:614-707-6231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company