Organization
WL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE-LOUIS DAVID MCMILLAN MBA, BSN-RN (CHIEF EXECUTIVE OFFICER)
(252) 532-4539
Entity
Organization
Contact information
Practice address
557 LITTE DEEP CREEK ROAD, ROANOKE RAPIDS, NC 27870
(252) 532-4539
Mailing address
557 LITTE DEEP CREEK ROAD, ROANOKE RAPIDS, NC 27870
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160557
—
NC
Enumeration date
01/15/2020
Last updated
01/16/2020
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