Organization Name: | HUMAN SERVICE CENTER |
NPI Number: | 1336353523 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY BAUER (MIS COORDINATOR) |
Mailing Address: | 10257 State Route Three Red Bud |
State: | IL US |
Postal Code: | 62278 |
Phone Number: | 6182826233 |
Fax Number: | 6182826949 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |