institution
Providence
Private Vehicle in Foxworth, Mississippi
NPI 1821567991

Providence is a Private Vehicle based in Foxworth, MS. Providence practices in Foxworth, MS. The NPI Number for Providence is 1821567991 and holds a License No. 800427553 (Mississippi).

The current practice location address for Providence is 17 Daisy Ln, Foxworth, MS and can be reached out via phone at 601-395-7602.

Location: 17 Daisy Ln, Foxworth, MS, 39483-4868
institution
Provider Profile Details
NPI Number
1821567991
Provider Name
Providence
Credential
Provider Entity Type
Organization
Address
17 Daisy Ln, Foxworth, MS, 39483-4868
Phone Number
601-395-7602
Fax Number
Provider Enumeration Date
11/19/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17 Daisy Ln
City
State
Zip
39483-4868
Phone Number
601-395-7602
Fax Number
person
Provider Business Mailing Address Details
Address
17 Daisy Ln
City
State
Zip
39483-4868
Phone Number
601-395-7602
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
098765 (Mississippi)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
8000427553 (Mississippi)
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 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
800427553 (Mississippi)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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