# ROCKERZ ON WHEELZ TRANSPORTATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720680259
- **Authorized official:** DESTINY L INGRAM (CEO)
- **Authorized official phone:** (813) 330-5939

## Contact information

- **Practice address:** 25154 NW 4TH AVE, NEWBERRY, FL 32669-3266
- **Practice address phone:** (813) 330-5939
- **Mailing address:** PO BOX 844, NEWBERRY, FL 32669-0844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/13/2020