An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Contractor |
171W00000X | |||
Licensed Practical Nurse |
164W00000X | |||
Nursing Home Administrator |
376G00000X |
| NPI Number | 1780306506 |
||||
| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 09/19/2022 | ||||
| Last updated | 09/19/2022 - About 4 years ago | ||||
| Identifiers |
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SHARON DAVIS
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