Provider Demographics
NPI: | 1962837641 |
---|---|
Name: | PALACIO TRANS AND LIMO SERVICES |
Entity type: | Organization |
Organization Name: | PALACIO TRANS AND LIMO SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | EMMANUEL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ONYEKWULU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 678-760-0037 |
Mailing Address - Street 1: | 4052 EATON STREET |
Mailing Address - Street 2: | |
Mailing Address - City: | LAWRENCEVILLE |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30046 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 678-760-0037 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4052 EATON STREET |
Practice Address - Street 2: | |
Practice Address - City: | LAWRENCEVILLE |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30046 |
Practice Address - Country: | US |
Practice Address - Phone: | 678-760-0037 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-09-12 |
Last Update Date: | 2013-09-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 344600000X | Transportation Services | Taxi | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 347C00000X | Transportation Services | Private Vehicle |