JACOB BAILEY

CHARLOTTE, NC
NPI1528695301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: AZ  d08570925)
Additional Taxonomies172A00000X Driver
(Licence: AZ  d08570925)
372500000X Chore Provider
374U00000X Home Health Aide
376J00000X Homemaker
Enumeration Date2020-03-24
Last Update Date2020-03-24
Business Address
JACOB BAILEY
424 PLYMOUTH AVE
CHARLOTTE, NC 28206-3139
Phone number: 480-540-0111
Mailing Address
JACOB BAILEY
424 PLYMOUTH AVE
CHARLOTTE, NC 28206-3139
Phone number: 480-540-0111