MEDICARE: A AND R NON EMERGENCY MEDICAL TRANSPORTATION SERVICE 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	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1285128488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A AND R NON EMERGENCY MEDICAL TRANSPORTATION SERVICE LLC

Provider Business Mailing Address
First Line	:	2140 N US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34946-8993
Country	:	US
Telephone Number	:	772-626-5146
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 N US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34946-8993
Country	:	US
Telephone Number	:	772-626-5146
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RENEA THOMAS
Credential	:
Telephone Number	:	772-626-5146

Provider Enumeration Date	:	06/20/2018
Last Update Date	:	06/20/2018

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