Provider Demographics
NPI:1871119206
Name:BLOUNT'S LEGACY TRANSPORTATION
Entity type:Organization
Organization Name:BLOUNT'S LEGACY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNERSHIP
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-377-0172
Mailing Address - Street 1:3721 COLONIAL TRL E
Mailing Address - Street 2:
Mailing Address - City:SURRY
Mailing Address - State:VA
Mailing Address - Zip Code:23883-2311
Mailing Address - Country:US
Mailing Address - Phone:757-377-0172
Mailing Address - Fax:
Practice Address - Street 1:3721 COLONIAL TRL E
Practice Address - Street 2:
Practice Address - City:SURRY
Practice Address - State:VA
Practice Address - Zip Code:23883-2311
Practice Address - Country:US
Practice Address - Phone:757-524-2538
Practice Address - Fax:757-294-3459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)