Provider Demographics
NPI:1093364713
Name:CARRION & DEESE LLC
Entity Type:Organization
Organization Name:CARRION & DEESE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:585-481-9433
Mailing Address - Street 1:22 JENNIE LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-5814
Mailing Address - Country:US
Mailing Address - Phone:585-429-6192
Mailing Address - Fax:
Practice Address - Street 1:22 JENNIE LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-5814
Practice Address - Country:US
Practice Address - Phone:585-429-6192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)