MEDICARE: PERRY TRANSPORT AND RENTALS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	251E00000X	Home Health Agency
3	3336M0002X	Mail Order Pharmacy
4	342000000X	Transportation Network Company
5	343800000X	Secured Medical Transport (VAN)
6	343900000X	Non-emergency Medical Transport (VAN)
7	347C00000X	Private Vehicle
8	347E00000X	Transportation Broker

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	=========	OTHER	MI	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013650282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERRY TRANSPORT AND RENTALS LLC

Provider Business Mailing Address
First Line	:	19320 DRESDEN
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2132
Country	:	US
Telephone Number	:	313-477-8277
Fax Number	:

Provider Business Practice Location Address
First Line	:	19320 DRESDEN
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2132
Country	:	US
Telephone Number	:	313-477-8277
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEAH A PERRY
Credential	:
Telephone Number	:	313-477-8277

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	09/13/2023

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Directions to “PERRY TRANSPORT AND RENTALS LLC ” Practice Location

Language	Start Address	Practice Location

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