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 Number | 1720368848 |
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| LBN Legal business name | FIRST MEDIVAN LLC | ||||
| Authorized official | MARK MOTSINGER - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/20/2011 | ||||
| Last updated | 08/20/2011 - About 15 years ago | ||||
| Identifiers |
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