MEDICARE: PALMER NON-MEDICAL 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	343900000X	Non-emergency Medical Transport (VAN)	3015	MD

General Provider Information

NPI Number	:	1306361142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMER NON-MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3412 GATESHEAD MANOR WAY APT 204
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-6116
Country	:	US
Telephone Number	:	301-592-7037
Fax Number	:

Provider Business Practice Location Address
First Line	:	3412 GATESHEAD MANOR WAY APT 204
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-6116
Country	:	US
Telephone Number	:	301-592-7037
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SOLOMON MAADA PALMER
Credential	:
Telephone Number	:	301-592-7037

Provider Enumeration Date	:	08/12/2017
Last Update Date	:	07/21/2022

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