Individual provider · Type 1 NPI
Larry Fredrick King
Private Vehicle · Cleveland, OH
NPI number
1548034473
Active
Practice location
4408 E 158th St
Cleveland, OH 44128-2917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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About NPI 1548034473
Larry Fredrick King's National Provider Identifier is 1548034473, issued on Nov 10, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Cleveland, OH. The record was last updated on Nov 10, 2023.