Provider Demographics
NPI:1326802687
Name:MICHELLE'S VOCATIONAL PLACEMENT, LLC
Entity Type:Organization
Organization Name:MICHELLE'S VOCATIONAL PLACEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-293-0925
Mailing Address - Street 1:2730 TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-1727
Mailing Address - Country:US
Mailing Address - Phone:563-293-0925
Mailing Address - Fax:
Practice Address - Street 1:2730 TREMONT AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-1727
Practice Address - Country:US
Practice Address - Phone:563-293-0925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care