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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