Provider Demographics
NPI:1700451937
Name:CW EXPRESS TRANSPORTATION LLC
Entity type:Organization
Organization Name:CW EXPRESS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINNAMIN
Authorized Official - Middle Name:MARCHELLE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:225-610-7735
Mailing Address - Street 1:18018 SMALLEN DR
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-8236
Mailing Address - Country:US
Mailing Address - Phone:225-610-7735
Mailing Address - Fax:
Practice Address - Street 1:18018 SMALLEN DR
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-8236
Practice Address - Country:US
Practice Address - Phone:225-610-7735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)