Provider Demographics
NPI:1811471097
Name:ANTHONY'S EXCLUSIVE LIMOUSINE
Entity type:Organization
Organization Name:ANTHONY'S EXCLUSIVE LIMOUSINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-644-7930
Mailing Address - Street 1:2360 LAKEWOOD RD STE 3-116
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1929
Mailing Address - Country:US
Mailing Address - Phone:732-644-7930
Mailing Address - Fax:732-849-5808
Practice Address - Street 1:20 FLORENCE DRIVE
Practice Address - Street 2:RENAISSANCE COMMUNITY
Practice Address - City:MANCHSESTER
Practice Address - State:NJ
Practice Address - Zip Code:08759
Practice Address - Country:US
Practice Address - Phone:732-644-7930
Practice Address - Fax:732-849-5808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle