An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Home Delivered Meals |
332U00000X | 87 | All Other Suppliers | |
Non-emergency Medical Transport (VAN) |
343900000X | |||
Transportation Network Company |
342000000X |
| NPI Number | 1285315614 |
| LBN Legal business name | MDM TRANSPORT LLC |
| Authorized official | MEKDIM MENGISTU - (OWNER/MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/27/2023 |
| Last updated | 07/27/2023 - About 3 years ago |
| Identifiers | n/a |
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