# GRANDE TRANSPORTATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437918489
- **Authorized official:** MIGUEL E MONTIEL (MANAGER)
- **Authorized official phone:** (971) 336-4392

## Contact information

- **Practice address:** 11103 SANTIAGO RIVER LN, RICHMOND, TX 77406-3206
- **Practice address phone:** (971) 336-4392
- **Mailing address:** 11103 SANTIAGO RIVER LN, RICHMOND, TX 77406-3206
- **Mailing address phone:** (971) 336-4392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 03/17/2024