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 # | 1891902599 |
| LBN Legal business name | THE OLE HOMEPLACE TRANSPORT INC. |
| Authorized official | CARSON MCCLOUD - (SOLE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/16/2007 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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