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NPI Code Detail

MEDICARE: ELDERLY CARE TRANSPORTATION, LLC

MEDICARE: ELDERLY CARE 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1992586960
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDERLY CARE TRANSPORTATION, LLC
Provider Business Mailing Address
First Line : 3550 APPLE ORCHARD DR
Second Line :
City : DELTONA
State : FL
Zip : 32738-9403
Country : US
Telephone Number : 386-675-3404
Fax Number :
Provider Business Practice Location Address
First Line : 3550 APPLE ORCHARD DR
Second Line :
City : DELTONA
State : FL
Zip : 32738-9403
Country : US
Telephone Number : 386-675-3404
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GUERLINE GLEZIL
Credential :
Telephone Number : 386-675-3404
Provider Enumeration Date : 10/06/2023
Last Update Date : 10/12/2023

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Directions to “ELDERLY CARE TRANSPORTATION, LLC ” Practice Location

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