Provider Demographics
NPI:1467694398
Name:PERFECT CHOICE TRANSPORTATION SERVICE LLC
Entity Type:Organization
Organization Name:PERFECT CHOICE TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAEFORD
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:NEWKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-978-1738
Mailing Address - Street 1:15856 SANTA ROSA DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48238-1337
Mailing Address - Country:US
Mailing Address - Phone:313-978-1728
Mailing Address - Fax:
Practice Address - Street 1:15856 SANTA ROSA DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-1337
Practice Address - Country:US
Practice Address - Phone:313-978-1728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2156343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)