Organization
PROVISIONS TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HEITH CALDWELL (OWNER)
(870) 414-1506
Entity
Organization
Contact information
Practice address
11495 FRISCO DR, FARMINGTON, AR 72730-2729
(870) 414-1506
Mailing address
11495 FRISCO DR, FARMINGTON, AR 72730-2729
(870) 414-1506
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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