MEDICARE: SEVEN PILLARS OF LIFE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)
3	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1992551477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVEN PILLARS OF LIFE LLC

Provider Business Mailing Address
First Line	:	6220 N BELT LINE RD STE 208
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2656
Country	:	US
Telephone Number	:	817-369-8214
Fax Number	:	682-333-0664

Provider Business Practice Location Address
First Line	:	6220 N BELT LINE RD STE 208
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2656
Country	:	US
Telephone Number	:	817-369-8214
Fax Number	:	682-333-0664

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SOPHIA DINWIDDIE DONALD
Credential	:
Telephone Number	:	817-369-8214

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	04/25/2024

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Directions to “SEVEN PILLARS OF LIFE LLC ” Practice Location

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