Organization
FORRIS IV CARE TRANSPORTATION LLC
Active
Organization
FORRIS IV CARE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORRIS LACOSTE FULFORD III (OWNER)
(252) 702-8651
Entity
Organization
Contact information
Practice address
4189 DALE DR, FARMVILLE, NC 27828-1217
(252) 702-8651
Mailing address
4189 DALE DR, FARMVILLE, NC 27828-1217
(252) 702-8651
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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