Provider Demographics
| NPI: | 1962837641 |
|---|---|
| Name: | PALACIO TRANS AND LIMO SERVICES |
| Entity type: | Organization |
| Organization Name: | PALACIO TRANS AND LIMO SERVICES |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | EMMANUEL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ONYEKWULU |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 678-760-0037 |
| Mailing Address - Street 1: | 4052 EATON STREET |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LAWRENCEVILLE |
| Mailing Address - State: | GA |
| Mailing Address - Zip Code: | 30046 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 678-760-0037 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 4052 EATON STREET |
| Practice Address - Street 2: | |
| Practice Address - City: | LAWRENCEVILLE |
| Practice Address - State: | GA |
| Practice Address - Zip Code: | 30046 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 678-760-0037 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2013-09-12 |
| Last Update Date: | 2013-09-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 344600000X | Transportation Services | Taxi | |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| No | 347C00000X | Transportation Services | Private Vehicle |