Organization
ROCKERZ ON WHEELZ TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY L INGRAM (CEO)
(813) 330-5939
Entity
Organization
Contact information
Practice address
25154 NW 4TH AVE, NEWBERRY, FL 32669-3266
(813) 330-5939
Mailing address
PO BOX 844, NEWBERRY, FL 32669-0844
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/10/2020
Last updated
11/13/2020
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