MEDICARE: HUMBLE HANDS TRANSPORTATION SERVICES

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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1598404931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMBLE HANDS TRANSPORTATION SERVICES

Provider Business Mailing Address
First Line	:	18640 NW 2ND AVE # 69-2992
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4508
Country	:	US
Telephone Number	:	954-982-5566
Fax Number	:

Provider Business Practice Location Address
First Line	:	18640 NW 2ND AVE # 69-2992
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-4508
Country	:	US
Telephone Number	:	954-982-5566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WYLETTE CLARKE
Credential	:	HEALTHCARE
Telephone Number	:	954-982-5566

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	06/02/2022

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