Provider Demographics
NPI:1003784489
Name:EV MOBILITY NETWORK LLC
Entity type:Organization
Organization Name:EV MOBILITY NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPER/PROJECT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:826-204-0087
Mailing Address - Street 1:300 GILBERT RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1446
Mailing Address - Country:US
Mailing Address - Phone:826-204-0087
Mailing Address - Fax:
Practice Address - Street 1:300 GILBERT RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1446
Practice Address - Country:US
Practice Address - Phone:826-204-0087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty