MEDICARE: PRECISE TRANSPORTATION, 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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1285325910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISE TRANSPORTATION, LLC

Provider Business Mailing Address
First Line	:	400 N MOUNTAIN AVE STE 239
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-5177
Country	:	US
Telephone Number	:	909-710-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N MOUNTAIN AVE STE 239
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-5177
Country	:	US
Telephone Number	:	909-710-2020
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEVUNI HARRISON
Credential	:
Telephone Number	:	909-710-2020

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

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Directions to “PRECISE TRANSPORTATION, LLC ” Practice Location

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