Organization
PRIVATE DUTY TRANSPORTATION LLC
Active
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
3848 NILES RD, SAINT JOSEPH, MI 49085-8612
(269) 400-6911
(269) 400-6910
Mailing address
3848 NILES RD, SAINT JOSEPH, MI 49085-8612
(269) 400-6911
(269) 400-6910
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
06/09/2026
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