Organization Name: | PROCARE |
NPI Number: | 1124448253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ISMAILA ODUBENA (MANAGING DIRECTOR) |
Mailing Address: | 1705 Shamrock Ave Capitol Heights |
State: | MD US |
Postal Code: | 207435302 |
Phone Number: | 2406064620 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |