Provider Demographics
NPI:1548883572
Name:AMAZN DELIVERY SERVICE LLC
Entity type:Organization
Organization Name:AMAZN DELIVERY SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-256-1165
Mailing Address - Street 1:3125 W 11TH ST # DF
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1935
Mailing Address - Country:US
Mailing Address - Phone:216-256-1165
Mailing Address - Fax:
Practice Address - Street 1:3125 W 11TH ST # DF
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1935
Practice Address - Country:US
Practice Address - Phone:216-256-1165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health