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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 # | 1720722119 |
| LBN Legal business name | STAR TYME HOME HEALTHCARE LLC |
| Authorized official | TYRONNICA JOHNSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/22/2022 |
| Last updated | 05/31/2023 - About 3 years ago |
| Identifiers | n/a |
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STAR TYME HOME HEALTHCARE LLC
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STAR TYME HOME HEALTHCARE LLC