Healthcare Provider Details

I. General information

NPI: 1447737101
Provider Name (Legal Business Name): PRECISIONCARE TRANSPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 TOPAZ DR UNIT G
MAX MEADOWS VA
24360-3804
US

IV. Provider business mailing address

917 TOPAZ DR UNIT G
MAX MEADOWS VA
24360-3804
US

V. Phone/Fax

Practice location:
  • Phone: 276-200-4155
  • Fax: 540-301-5556
Mailing address:
  • Phone: 276-200-4155
  • Fax: 540-301-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MODESTE N PARSONS
Title or Position: MANAGING MEMBER
Credential:
Phone: 276-200-4155