Organization Name: | SECOND GENERATION, INC. |
NPI Number: | 1679728299 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY LEIGH HUTTON (OWNER/PRESIDENT) |
Mailing Address: | 1248 N 2nd Ave Ajo |
State: | AZ US |
Postal Code: | 853211602 |
Phone Number: | 5203876559 |
Fax Number: | 5203873933 |
NPI Enumeration Date: | 11/24/2008 |
NPI Last Update Date: | 11/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 07648596R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |