An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency |
| NPI # | 1760810428 |
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| LBN Legal business name | ALL STAR ACADEMY (ASA) | ||||||||||||||||
| Authorized official | KATE ONYENEHO - (PRESIDENT/CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 10/16/2013 | ||||||||||||||||
| Last updated | 10/16/2013 - About 13 years ago | ||||||||||||||||
| Identifiers |
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