Healthcare Provider Details

I. General information

NPI: 1922756915
Provider Name (Legal Business Name): A MILLION SMILES A DAY TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 JOHNNIE WASHINGTON DR
EAST FLAT ROCK NC
28726-0280
US

IV. Provider business mailing address

82 JOHNNIE WASHINGTON DR
EAST FLAT ROCK NC
28726-0280
US

V. Phone/Fax

Practice location:
  • Phone: 828-388-6392
  • Fax:
Mailing address:
  • Phone: 828-388-6392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TIA NICOLE RUDISILL
Title or Position: OWNER
Credential:
Phone: 828-388-6392