MEDICARE: T.O.K ENTERPRISE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	347C00000X	Private Vehicle	VA
2	343800000X	Secured Medical Transport (VAN)	VA
3	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1114276821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T.O.K ENTERPRISE, LLC

Provider Business Mailing Address
First Line	:	1207 ELLIOTT ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-3141
Country	:	US
Telephone Number	:	757-675-6922
Fax Number	:	757-962-9984

Provider Business Practice Location Address
First Line	:	7712 GRANBY ST UNIT 9209
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-1217
Country	:	US
Telephone Number	:	757-675-6922
Fax Number	:	757-962-9984

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KABERLYN FRANKS
Credential	:
Telephone Number	:	757-675-6922

Provider Enumeration Date	:	09/10/2012
Last Update Date	:	03/11/2015

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