Provider Demographics
NPI:1881222305
Name:PALMETTO TRANSPORT SERVICES, LLC
Entity Type:Organization
Organization Name:PALMETTO TRANSPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-622-8163
Mailing Address - Street 1:249 FOXPORT DR
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-7541
Mailing Address - Country:US
Mailing Address - Phone:803-622-8163
Mailing Address - Fax:
Practice Address - Street 1:249 FOXPORT DR
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-7541
Practice Address - Country:US
Practice Address - Phone:803-622-8163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No174200000XOther Service ProvidersMeals
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle