Organization · Type 2 NPI

Jennifer Nanettle Randolph LLC

Private Vehicle · Chicago, IL

NPI number 1306609292 Active

Practice location

7715 S Cottage Grove, Ste, 1 Dpt 198502
Chicago, IL 60619

Call (414) 304-4881 Map

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Home Delivered Meals 332U00000XNone listed
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1306609292

Jennifer Nanettle Randolph LLC's National Provider Identifier is 1306609292, issued on Feb 2, 2024. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 2, 2024.