Provider Demographics
NPI:1306361142
Name:PALMER NON-MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:PALMER NON-MEDICAL TRANSPORTATION LLC
Other - Org Name:PALMER NON-MEDICAL TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:MAADA
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-592-7037
Mailing Address - Street 1:3412 GATESHEAD MANOR WAY APT 204
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6116
Mailing Address - Country:US
Mailing Address - Phone:301-592-7037
Mailing Address - Fax:
Practice Address - Street 1:3412 GATESHEAD MANOR WAY APT 204
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6116
Practice Address - Country:US
Practice Address - Phone:301-592-7037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3015343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)