Organization · Type 2 NPI
Statewide Healthcare Services, LLC
Private Vehicle · Jackson, MS
NPI number
1205964178
Active
Practice location
3829 I-55 North
Jackson, MS 39211
Fax (601) 982-7462
Mailing address
33 S State St Fl 5
Chicago, IL 60603-2804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Another provider at this address
Other private vehicle providers in Jackson
About NPI 1205964178
Statewide Healthcare Services, LLC's National Provider Identifier is 1205964178, issued on Mar 1, 2007. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Jackson, MS. The record was last updated on Sep 16, 2022.