Providence
Providence is a Driver in Foxworth, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.
- Licensed in
- MS
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
17 Daisy LnFoxworth, MS 39483-4868
Phone: (601) 395-7602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 800427553 (MS) |
|---|---|
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X · Licence 8000427553 (MS) |
| Private Vehicle | Taxonomy 347C00000X · Licence 098765 (MS) |
Record details
| NPI number | 1821567991 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Smith — Ceo · (601) 395-7602 |
| Other names | Providance |
| NPI enumerated | November 19, 2018 |
| Last updated in NPPES | November 19, 2018 |
| Mailing address | 17 Daisy Ln, Foxworth, MS 39483-4868 |
Other providers in Foxworth
-
Edward N Gatlin, ETC
20 Otis Ln, Foxworth, MS 39483-3102 · (601) 467-0848