Individual provider · Type 1 NPI
Dekoda Dewayne Ware Sr.
Transportation Broker · Gardena, CA
NPI number
1669612396
Active
Practice location
16921 S Western Ave Ste 203
Gardena, CA 90247-5250
Fax (310) 668-7185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Transportation Broker Primary | 347E00000X | None listed |
Transportation Broker: An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
About NPI 1669612396
Dekoda Dewayne Ware Sr.'s National Provider Identifier is 1669612396, issued on Feb 20, 2009. The primary taxonomy on file is Transportation Broker (347E00000X), and the practice location is in Gardena, CA. The record was last updated on Feb 20, 2009.