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NPI Code Detail

MEDICARE: TRANSPORTATION ON DEMAND INC

MEDICARE: TRANSPORTATION ON DEMAND INC
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
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
3341600000XAmbulance
4343900000XNon-emergency Medical Transport (VAN)
5251E00000XHome Health Agency

General Provider Information

NPI Number : 1407416696
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSPORTATION ON DEMAND INC
Provider Business Mailing Address
First Line : 14 E BUTLER RD STE A
Second Line :
City : MAULDIN
State : SC
Zip : 29662-2402
Country : US
Telephone Number : 864-729-2011
Fax Number : 864-729-2012
Provider Business Practice Location Address
First Line : 14 E BUTLER RD STE A
Second Line :
City : MAULDIN
State : SC
Zip : 29662-2402
Country : US
Telephone Number : 864-729-2011
Fax Number : 864-729-2012
Authorized Official
Title or Position : PRESIDENT
Name : JAMRLO GERORD YATES
Credential : BS MATHEMATICS
Telephone Number : 864-478-7602
Provider Enumeration Date : 06/19/2019
Last Update Date : 06/19/2019

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Directions to “TRANSPORTATION ON DEMAND INC ” Practice Location

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