Provider Demographics
NPI:1689337917
Name:DELICATE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DELICATE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANERGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PURNELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:443-801-4876
Mailing Address - Street 1:704 CROSSTIE ST
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9774
Mailing Address - Country:US
Mailing Address - Phone:919-266-7697
Mailing Address - Fax:
Practice Address - Street 1:704 CROSSTIE ST
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9774
Practice Address - Country:US
Practice Address - Phone:919-266-7697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)