MEDICARE: NORE COLLECTION LLC.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1053182519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORE COLLECTION LLC.,

Provider Business Mailing Address
First Line	:	137 PINE HILL CT
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-2046
Country	:	US
Telephone Number	:	678-521-2738
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 PINE HILL CT
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-2046
Country	:	US
Telephone Number	:	678-521-2738
Fax Number	:

Authorized Official
Title or Position	:	OWNER- OPERATOR
Name	:	NY-TESHAH A WEEMS-EVANS
Credential	:
Telephone Number	:	678-521-2738

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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