Provider Demographics
NPI:1538948534
Name:PELON GROUP, INC
Entity type:Organization
Organization Name:PELON GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWEGBO
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:121-498-6621
Mailing Address - Street 1:3408 DOWNING WAY
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4328
Mailing Address - Country:US
Mailing Address - Phone:214-986-6212
Mailing Address - Fax:469-399-5006
Practice Address - Street 1:3408 DOWNING WAY
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4328
Practice Address - Country:US
Practice Address - Phone:214-986-6212
Practice Address - Fax:469-399-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker