OrganizationChoice Transportation, LlcNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address42189 Shadow Creek Ave, Gonzales, LA 70737-7241(225) 978-7583PECOS EnrollmentBased on the most recent information from CMS, provider Choice Transportation, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1790270338Provider TypeOrganizationFull NameChoice Transportation, LlcSubpartNoEnumeration Date6/26/2018Last Updated6/26/2018Contact InformationPractice LocationPractice Address42189 Shadow Creek Ave, Gonzales, LA 70737-7241Phone(225) 978-7583FaxUnlisted FaxMailing LocationMailing Address42189 Shadow Creek Ave, Gonzales, LA 70737-7241Phone(225) 978-7583FaxUnlisted FaxAuthorized OfficialNameClark, Jessica (Owner)Phone(225) 978-7583Provider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted Issuer