Organization
TRUCKER'S HAVEN LLC
Active
Parent organization
-
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
MS. GENIA LARESE NEWKIRK (OWNER)
(910) 289-1767
Entity
Organization
Contact information
Practice address
897 GOLDEN PLUM LN, ZEBULON, NC 27597-9724
(910) 289-1767
Mailing address
897 GOLDEN PLUM LN, ZEBULON, NC 27597-9724
(910) 289-1767
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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