| NPI | 1043560584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRICH ANTWONE MOSS CEO 678-431-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: GA 044-33) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport (Licence: GA 60) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2014-10-24 |