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An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X |
| NPI Number | 1144899204 |
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| LBN Legal business name | MARDIA TRANSPORT SERVICE | ||||
| Authorized official | MARDIA PAYNE-PHILLIPS - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/23/2021 | ||||
| Last updated | 06/23/2021 - About 5 years ago | ||||
| Identifiers |
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MARDIA TRANSPORT SERVICE
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MARDIA TRANSPORT SERVICE