LEE'S AMBULATE AND TRANSPORTATION SERVICES LLC

Day Training, Developmentally Disabled Services

Code: 251C00000X

Clinic/Center — Adult Day Care

Code: 261QA0600X

Clinical Medical Laboratory

Code: 291U00000X

Dental Laboratory

Code: 292200000X

Physiological Laboratory

Code: 293D00000X

Preferred Provider Organization

Code: 305R00000X

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

Residential Treatment Facility, Physical Disabilities

Code: 320700000X

Secured Medical Transport (VAN)

Code: 343800000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Private Vehicle

Code: 347C00000X

Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child

Code: 385HR2060X

Transportation Broker

Code: 347E00000X