Healthcare Provider Details

I. General information

NPI: 1730864042
Provider Name (Legal Business Name): PERRY-GRANT TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 WHEAT MILL RD
DURHAM NC
27704-1243
US

IV. Provider business mailing address

610 WHEAT MILL RD
DURHAM NC
27704-1243
US

V. Phone/Fax

Practice location:
  • Phone: 919-412-1959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: CLARA SPINKS
Title or Position: OWNER/OPERATOR
Credential:
Phone: 919-412-1959