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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 | |||
Case Management |
251B00000X | |||
Supports Brokerage |
251X00000X | |||
Transportation Broker |
347E00000X |
| NPI # | 1437607694 |
||||
| LBN Legal business name | BRITE LITE HOUSE INC | ||||
| Authorized official | MARY POURCH - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/16/2016 | ||||
| Last updated | 09/16/2016 - About 10 years ago | ||||
| Identifiers |
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BRITE LITE HOUSE INC
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BRITE LITE HOUSE INC