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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 | |||
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI Number | 1215106422 |
||||
| LBN Legal business name | CITY OF ANGELS | ||||
| Authorized official | DENISE CLARK - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/22/2008 | ||||
| Last updated | 02/22/2008 - About 18 years ago | ||||
| Identifiers |
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CITY OF ANGELS
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CITY OF ANGELS