MEDICARE: LIVE2LOVE TRANSPORTATION

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	172A00000X	Driver

General Provider Information

NPI Number	:	1518641455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVE2LOVE TRANSPORTATION

Provider Business Mailing Address
First Line	:	1216 CAMP GREENE ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-4012
Country	:	US
Telephone Number	:	704-396-1849
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 CAMP GREENE ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-4012
Country	:	US
Telephone Number	:	704-396-1849
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	DANITA STORY
Credential	:
Telephone Number	:	704-396-1849

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	06/27/2023

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Directions to “LIVE2LOVE TRANSPORTATION ” Practice Location

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