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Mr. Dekoda Dewayne Ware SR.
Transportation Broker in Gardena, California
NPI 1669612396

Dekoda Dewayne Ware SR. is a Transportation Broker based in Gardena, CA. Dekoda Dewayne Ware SR. practices in Gardena, CA. The NPI Number for Dekoda Dewayne Ware SR. is 1669612396 and holds a License No. (California).

The current practice location address for Dekoda Dewayne Ware SR. is 16921 S Western Ave Ste 203, Gardena, CA and can be reached out via phone at 310-523-3225 and via fax at 310-668-7185.

Location: 16921 S Western Ave Ste 203, Gardena, CA, 90247-5250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669612396
Provider Name
Dekoda Dewayne Ware SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
16921 S Western Ave Ste 203, Gardena, CA, 90247-5250
Phone Number
310-523-3225
Fax Number
310-668-7185
Provider Enumeration Date
02/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16921 S Western Ave Ste 203
City
Gardena
State
California
Zip
90247-5250
Phone Number
310-523-3225
Fax Number
310-668-7185
person
Provider Business Mailing Address Details
Address
16921 S Western Ave Ste 203
City
Gardena
State
California
Zip
90247-5250
Phone Number
310-523-3225
Fax Number
310-668-7185
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
()
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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