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Organization

PREMIER EXPRESS TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEDRA JACKSON (CEO)
(440) 941-3763
Entity
Organization

Contact information

Practice address
782 E 130TH ST, CLEVELAND, OH 44108-2544
(440) 941-3763
Mailing address
782 E 130TH ST, CLEVELAND, OH 44108-2544
(440) 941-3763

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
344600000X
Taxi
347C00000X
Private Vehicle

Other

Enumeration date
05/02/2022
Last updated
05/04/2022
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