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PROVIDENCE

Driver

NPI: 1821567991Organization

Specialties, Licenses & Credentials

Non-emergency Medical Transport (VAN)

Code: 343900000X

8000427553(MS)

Private Vehicle

Code: 347C00000X

098765(MS)
DriverPrimary

Driver

Code: 172A00000X

800427553(MS)

Contact & Hours

Address
17 DAISY LN
FOXWORTH, MS 39483

Quick Facts

NPI
1821567991
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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