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	251E00000X	Home Health Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	347C00000X	Private Vehicle
4	343800000X	Secured Medical Transport (VAN)
5	3336M0002X	Mail Order Pharmacy

General Provider Information

NPI Number	:	1073253324
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	:	19321 STRASBURG ST # 2
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-2132
Country	:	US
Telephone Number	:	313-477-8277
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	MRS. LEAH PERRY
Credential	:	MD
Telephone Number	:	313-477-8277

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	10/05/2023

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