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 # | 1811196652 |
| LBN Legal business name | WELLSPRING FAITH IN ACTION |
| Authorized official | SHARON DEXHEIMER - (PROGRAM COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/12/2007 |
| Last updated | 07/12/2007 - About 19 years ago |
| Identifiers | n/a |
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WELLSPRING FAITH IN ACTION
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