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Individual

PORSHA BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
171M00000X
Case Manager/Care Coordinator
174200000X
Meals Provider
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
372600000X
Adult Companion

Other

Enumeration date
05/29/2019
Last updated
11/27/2023
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