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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 | |||
Taxi |
344600000X |
| NPI # | 1366984833 |
| LBN Legal business name | COSMICCARE |
| Authorized official | DEONTRAE SPRUILL - (MANAGER/ CREATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/15/2016 |
| Last updated | 11/15/2016 - About 10 years ago |
| Identifiers | n/a |
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COSMICCARE
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COSMICCARE