Organization
SUPERNATURAL TRANSPORTATION SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL DERRELL SIMMONS (OWNER)
(252) 671-3396
Entity
Organization
Contact information
Practice address
7801 US HIGHWAY 17, POLLOCKSVILLE, NC 28573-8771
(252) 671-3396
Mailing address
PO BOX 275, POLLOCKSVILLE, NC 28573-0275
(252) 671-3396
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/08/2017
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