Organization
PERSONAL CARE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE WILSON JR. (OWNER)
(909) 267-5740
Entity
Organization
Contact information
Practice address
245 N EUCLID AVE, UPLAND, CA 91786-6038
(909) 267-5740
Mailing address
PO BOX 463, UPLAND, CA 91785-0463
(909) 267-5740
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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