| NPI | 1093142374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEE SHANKS CEO/Owner 706-631-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA LCB20120000712) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |