Organization Name: | GRANITE CITY MOVING & STORAGE |
NPI Number: | 1093078289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DUSTIN LAMPERT (PRESIDENT) |
Mailing Address: | 207 14th Ave E Sartell |
State: | MN US |
Postal Code: | 563774500 |
Phone Number: | 3202521311 |
Fax Number: | 3202550081 |
NPI Enumeration Date: | 06/21/2012 |
NPI Last Update Date: | 06/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |