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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 | |||
Community/Behavioral Health |
251S00000X | |||
Foster Care Agency |
253J00000X | |||
Local Education Agency (LEA) |
251300000X | |||
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1467862219 |
| LBN Legal business name | JIMERSON SAFE HAVEN |
| Authorized official | JANITA TUCKER - (EXCUTIVE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/02/2014 |
| Last updated | 05/16/2023 - About 3 years ago |
| Identifiers | n/a |
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JIMERSON SAFE HAVEN
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JIMERSON SAFE HAVEN