Healthcare Provider Details
I. General information
NPI: 1043030265
Provider Name (Legal Business Name): OWL BE ON TIME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4775 NC 11
OAK CITY NC
27857-9311
US
IV. Provider business mailing address
8041 BRIER CREEK PKWY # 1184
RALEIGH NC
27617-7596
US
V. Phone/Fax
- Phone: 919-909-4171
- Fax:
- Phone: 919-909-4171
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LETITIA
TERESA
COUNCIL
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 919-909-4171