MEDICARE: CHANGES EMPLOYMENT & TRAINING SERVICES, 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1609297951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANGES EMPLOYMENT & TRAINING SERVICES, INC

Provider Business Mailing Address
First Line	:	1402 CORINTH ST
Second Line	:	255
City	:	DALLAS
State	:	TX
Zip	:	75215-2111
Country	:	US
Telephone Number	:	214-299-2934
Fax Number	:	214-421-3399

Provider Business Practice Location Address
First Line	:	1402 CORINTH ST
Second Line	:	255
City	:	DALLAS
State	:	TX
Zip	:	75215-2111
Country	:	US
Telephone Number	:	214-299-2934
Fax Number	:	214-421-3399

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHELLIE BRAGGS
Credential	:
Telephone Number	:	214-299-2934

Provider Enumeration Date	:	01/03/2014
Last Update Date	:	01/03/2014

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