Organization
HAYNES PERSONAL LOGISTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN THOMAS HAYNES (OWNER/PRESIDENT)
(276) 639-6959
Entity
Organization
Contact information
Practice address
1020 RIGHT POOR VALLEY RD, PENNINGTON GAP, VA 24277-7019
(276) 298-7295
(540) 595-0897
Mailing address
1020 RIGHT POOR VALLEY RD, PENNINGTON GAP, VA 24277-7019
(276) 298-7295
(540) 595-0897
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
IRCC316
VA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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