Provider Demographics
NPI:1962009696
Name:DOOR TO DOOR SENIOR TRANSPORTATION , LLC
Entity Type:Organization
Organization Name:DOOR TO DOOR SENIOR TRANSPORTATION , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUSNELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-822-4187
Mailing Address - Street 1:1802 SW DEL RIO BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-1309
Mailing Address - Country:US
Mailing Address - Phone:954-822-4187
Mailing Address - Fax:772-828-2704
Practice Address - Street 1:1802 SW DEL RIO BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-1309
Practice Address - Country:US
Practice Address - Phone:954-822-4187
Practice Address - Fax:772-828-2704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)