Organization
PRIVATE DUTY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI COSTANZA (CEO)
(269) 983-0300
Entity
Organization
Contact information
Practice address
3838 NILES RD, SAINT JOSEPH, MI 49085-8612
(269) 983-0300
(269) 983-0303
Mailing address
3838 NILES RD, SAINT JOSEPH, MI 49085-8612
(269) 983-0300
(269) 983-0303
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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