Healthcare Provider Details

I. General information

NPI: 1114276821
Provider Name (Legal Business Name): T.O.K ENTERPRISE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 03/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7712 GRANBY ST UNIT 9209
NORFOLK VA
23505-1217
US

IV. Provider business mailing address

1207 ELLIOTT ST
NORFOLK VA
23505-3141
US

V. Phone/Fax

Practice location:
  • Phone: 757-675-6922
  • Fax: 757-962-9984
Mailing address:
  • Phone: 757-675-6922
  • Fax: 757-962-9984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateVA

VIII. Authorized Official

Name: KABERLYN FRANKS
Title or Position: PRESIDENT
Credential:
Phone: 757-675-6922