Organization
SBC LLC
Active
Other names
The Shuttle Bus Company
Organization subpart
No
Provider details
NPI number
Authorized official
KIANNA FOWLKES (CEO)
(202) 670-4860
Entity
Organization
Contact information
Practice address
97 ELMIRA ST SW, WASHINGTON, DC 20032-2248
(202) 670-4860
Mailing address
97 ELMIRA ST SW, WASHINGTON, DC 20032-2248
(202) 670-4860
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003471350
PREVIOUS NPI
DC
Enumeration date
06/18/2019
Last updated
06/18/2019
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