Thomas, Larissa
Thomas, Larissa is an sole proprietor health care provider with primary practice located at 190 Wyndmont Way , Covington GA 30014-7904. She recently has 4 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Transportation Broker, Nursing Service Related Providers / Home Health Aide, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Thomas, Larissa can be contacted via phone (803) 414-3510.Contact Information
Primary practice address
190 Wyndmont Way
Covington GA 30014-7904
Phone: (803) 414-3510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | ||
| Transportation Services / Transportation Broker | 347E00000X | ||
| Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1114515178 |
|---|---|
| LBN Legal business name | Thomas, Larissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2021 |
| Last updated | Jan 5th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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