Provider Demographics
NPI:1154029908
Name:THE GOLDEN RULE TRANSPORT LLC
Entity type:Organization
Organization Name:THE GOLDEN RULE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOVER
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-848-1945
Mailing Address - Street 1:1314 HARDT ST APT A
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3088
Mailing Address - Country:US
Mailing Address - Phone:909-848-1945
Mailing Address - Fax:
Practice Address - Street 1:1314 HARDT ST APT A
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3088
Practice Address - Country:US
Practice Address - Phone:909-848-1945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)