Provider Demographics
NPI:1407636301
Name:PRECIOUS CARGO LLC
Entity Type:Organization
Organization Name:PRECIOUS CARGO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-784-2924
Mailing Address - Street 1:421 COUNTRY VINEYARD DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-3046
Mailing Address - Country:US
Mailing Address - Phone:813-784-2924
Mailing Address - Fax:
Practice Address - Street 1:421 COUNTRY VINEYARD DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-3046
Practice Address - Country:US
Practice Address - Phone:813-784-2924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty