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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 |
| NPI # | 1588984447 |
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| LBN Legal business name | ILUMINADA'S ASSISTED LIVING HOME | ||||
| Authorized official | ILUMINADA IBAY - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/02/2010 | ||||
| Last updated | 06/02/2010 - About 16 years ago | ||||
| Identifiers |
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ILUMINADA'S ASSISTED LIVING HOME