Provider Demographics
NPI:1649968553
Name:N&M TRANSPORT LLC
Entity type:Organization
Organization Name:N&M TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY-BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-446-0105
Mailing Address - Street 1:15364 HIGHWAY FORTY NINE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23927-2619
Mailing Address - Country:US
Mailing Address - Phone:434-446-0105
Mailing Address - Fax:
Practice Address - Street 1:15364 HIGHWAY FORTY NINE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23927-2619
Practice Address - Country:US
Practice Address - Phone:434-446-0105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)