Organization
SPARC TRANSIT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA LAWRENCE (CREDENTIALING SPECIALIST)
(502) 656-2429
Entity
Organization
Contact information
Practice address
1442 W STEVE WARINER DR, RUSSELL SPRINGS, KY 42642-5505
(270) 866-4174
Mailing address
1442 W STEVE WARINER DR, RUSSELL SPRINGS, KY 42642-5505
(270) 866-4174
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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