Provider Demographics
NPI:1851841126
Name:EMERALD GREEN LIMOUSINE SERVICES,INC
Entity Type:Organization
Organization Name:EMERALD GREEN LIMOUSINE SERVICES,INC
Other - Org Name:E&G TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PORCHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-978-2935
Mailing Address - Street 1:13902 WELLINGTON LN
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32735-9121
Mailing Address - Country:US
Mailing Address - Phone:352-978-2935
Mailing Address - Fax:
Practice Address - Street 1:13902 WELLINGTON LN
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32735-9121
Practice Address - Country:US
Practice Address - Phone:352-978-2935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle