Provider Demographics
NPI:1821464637
Name:PRESIDENTIAL CAR AND LIMOSUINE, LLC
Entity Type:Organization
Organization Name:PRESIDENTIAL CAR AND LIMOSUINE, LLC
Other - Org Name:PRESIDENTIAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AALIYAH
Authorized Official - Middle Name:N
Authorized Official - Last Name:FAUNTLEROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-353-4232
Mailing Address - Street 1:PO BOX 9804
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-0804
Mailing Address - Country:US
Mailing Address - Phone:614-353-4232
Mailing Address - Fax:614-574-8371
Practice Address - Street 1:654 EASTMOOR BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2253
Practice Address - Country:US
Practice Address - Phone:614-568-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-15
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201512500692343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)