Provider Demographics
NPI:1053019976
Name:40 & BELOW TRANSPORT LLC
Entity type:Organization
Organization Name:40 & BELOW TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:RIEDELL
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-347-4942
Mailing Address - Street 1:103 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-9740
Mailing Address - Country:US
Mailing Address - Phone:252-347-4942
Mailing Address - Fax:
Practice Address - Street 1:103 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-9740
Practice Address - Country:US
Practice Address - Phone:252-347-4942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle