MEDICARE: MOVE AROUND DISTRIBUTION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1205354669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVE AROUND DISTRIBUTION LLC

Provider Business Mailing Address
First Line	:	927 ANGELICA LN
Second Line	:
City	:	TEGA CAY
State	:	SC
Zip	:	29708-8803
Country	:	US
Telephone Number	:	718-866-6566
Fax Number	:	347-704-0054

Provider Business Practice Location Address
First Line	:	1688 KATY LN
Second Line	:
City	:	TEGA CAY
State	:	SC
Zip	:	29708-8974
Country	:	US
Telephone Number	:	704-800-4444
Fax Number	:	347-704-0054

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARIANNA BARTLES
Credential	:
Telephone Number	:	704-800-4444

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	11/13/2018

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Directions to “MOVE AROUND DISTRIBUTION LLC ” Practice Location

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