Provider Demographics
NPI:1831979566
Name:SENORITA TRANSPORTATION SERVICES, LLC
Entity type:Organization
Organization Name:SENORITA TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-671-5653
Mailing Address - Street 1:961 CANAL DR UNIT D
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-4766
Mailing Address - Country:US
Mailing Address - Phone:757-994-2890
Mailing Address - Fax:757-995-3050
Practice Address - Street 1:961 CANAL DR UNIT D
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-4766
Practice Address - Country:US
Practice Address - Phone:757-994-2890
Practice Address - Fax:757-995-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)