Organization
THE OLE HOMEPLACE TRANSPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON L MCCLOUD (PRESIDENT)
(270) 384-0148
Entity
Organization
Contact information
Practice address
113 CAMPBELLSVILLE ST, COLUMBIA, KY 42728-1434
(270) 384-0148
Mailing address
113 CAMPBELLSVILLE ST, COLUMBIA, KY 42728-1434
(270) 384-0148
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
3569
KY
343900000X
Non-emergency Medical Transport (VAN)
Primary
3569
KY
347C00000X
Private Vehicle
3569
KY
Other
Enumeration date
04/08/2010
Last updated
05/10/2010
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