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 |
| NPI Number | 1841523859 |
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| LBN Legal business name | OTTER TAIL COUNTY HUMAN SERVICES | ||||
| Authorized official | LEON ANDERSON - (DIRECTOR OF BUSINESS MANAGEMENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/09/2009 | ||||
| Last updated | 09/09/2009 - About 17 years ago | ||||
| Identifiers |
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OTTER TAIL COUNTY HUMAN SERVICES
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