MEDICARE: PERFECT CHOICE TRANSPORTATION 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	344600000X	Taxi

General Provider Information

NPI Number	:	1013502046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECT CHOICE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	10700 GARDEN SPRINGS LN APT 202
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-7861
Country	:	US
Telephone Number	:	804-243-5032
Fax Number	:

Provider Business Practice Location Address
First Line	:	10700 GARDEN SPRINGS LN APT 202
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-7861
Country	:	US
Telephone Number	:	804-243-5032
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. LENEIR KENDALL GRANDISON
Credential	:
Telephone Number	:	804-243-5032

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	03/02/2021

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