Provider Demographics
NPI:1205347929
Name:EXQUISITE TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:EXQUISITE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELISHA
Authorized Official - Middle Name:LEARDER
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-895-7792
Mailing Address - Street 1:3004 VERNON AVE S
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33973-6152
Mailing Address - Country:US
Mailing Address - Phone:239-895-7792
Mailing Address - Fax:
Practice Address - Street 1:3004 VERNON AVE S
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33973-6152
Practice Address - Country:US
Practice Address - Phone:239-895-7792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL17000215200344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi