Organization
TARHEELBLUETRANSPORTATION LLC
Active
Other names
Tarheel Blue Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHABAZZ JAMA CHELLEY (OWNER/ OPERATOR)
(336) 512-3381
Entity
Organization
Contact information
Practice address
7 ELSWORTH CT, MC LEANSVILLE, NC 27301-9308
(336) 512-3381
Mailing address
7 ELSWORTH CT, MCLEANSVILLE, NC 27301
(336) 512-3381
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
Other
Enumeration date
04/16/2019
Last updated
07/14/2021
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