A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Secured Medical Transport (VAN) |
343800000X | |||
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Hearing Aid Equipment |
332S00000X | 87 | All Other Suppliers | |
Non-emergency Medical Transport (VAN) |
343900000X | |||
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Preferred Provider Organization |
305R00000X | |||
Private Vehicle |
347C00000X | |||
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1003149733 |
| LBN Legal business name | PEACE & GLORY MANOR, INC |
| Authorized official | GLORIA BROWN - BRISTOL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/14/2009 |
| Last updated | 09/14/2009 - About 17 years ago |
| Identifiers | n/a |
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PEACE & GLORY MANOR, INC
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