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Melva Alicia Mccord
Private Vehicle in Decatur, Illinois
NPI 1396500815

Melva Alicia Mccord is a Private Vehicle based in Decatur, IL. Melva Alicia Mccord practices in Decatur, IL. The NPI Number for Melva Alicia Mccord is 1396500815 and holds a License No. M263-5416-1642 (Illinois).

The current practice location address for Melva Alicia Mccord is 3263 Greenlake Dr, Decatur, IL and can be reached out via phone at 678-614-4944.

Location: 3263 Greenlake Dr, Decatur, IL, 62521-4830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396500815
Provider Name
Melva Alicia Mccord
Credential
Provider Entity Type
Individual
Gender
Female
Address
3263 Greenlake Dr, Decatur, IL, 62521-4830
Phone Number
678-614-4944
Fax Number
Provider Enumeration Date
02/14/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3263 Greenlake Dr
City
Decatur
State
Illinois
Zip
62521-4830
Phone Number
678-614-4944
Fax Number
person
Provider Business Mailing Address Details
Address
3263 Greenlake Dr
City
Decatur
State
Illinois
Zip
62521-4830
Phone Number
678-614-4944
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
M263-5416-1642 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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