IMPACT SPECIALIZED TRANSPORT
Transportation at Eastwood Dr, Kannapolis, NC

License number
North Carolina 22469655
Category
Transportation
Type
Non-emergency Medical Transport (VAN)
Owner
Name: MR. JERRY WAYNE SWAN
Title: CEO
Phone: (704) 707-5311
Address
Address
1646 Eastwood Dr, Kannapolis, NC 28083
National Provider ID: 1982906558
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IMPACT SPECIALIZED TRANSPORT, LLC

Kannapolis, NC

Status:
Inactive
Industry:
Transportation Services
Doing business as:
Impact Specialized Transport
Inactive reason:
Revoked (Failure to File Annual Report)
Registration:
Nov 23, 2010
Inactive since:
Nov 1, 2013
Addresses:
Jerry Swan, Kannapolis, NC 28083 (Physical)
1646 Eastwood Dr, Kannapolis, NC 28083
Business type:
Limited Liability Company
Entity State:
WV
Members:
Jerry Swan (Member, Chief Executive Officer, Principal), 1646 Eastwood Dr, Kannapolis, NC 28083,Sheila Swan (Member), 1646 Eastwood Dr, Kannapolis, NC 28083,Mike King (Member), 1010 Autumn Ln, Concord, NC 28025,...

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