An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
School |
101YS0200X |
| NPI # | 1649952896 |
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| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 08/07/2023 | ||||||||
| Last updated | 08/07/2023 - About 3 years ago | ||||||||
| Identifiers |
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ALEXIS BRIDGES
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