An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Homemaker |
376J00000X | |||
Respite Care |
385H00000X |
| NPI # | 1710031422 |
| LBN Legal business name | STANBERRY INDEPENDENT LIVING |
| Authorized official | TOM MILLER - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/22/2007 |
| Last updated | 09/11/2025 - About 9 months ago |
| Identifiers | n/a |
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