Organization
JACOB S BAILEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BAILEY (OWNER)
(480) 540-0111
Entity
Organization
Contact information
Practice address
424 PLYMOUTH AVE, CHARLOTTE, NC 28206-3139
(480) 540-0111
Mailing address
424 PLYMOUTH AVE, CHARLOTTE, NC 28206-3139
(480) 540-0111
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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