NPI | 1174695035 |
---|---|
Other Name | CHILDREN'S TRANSPORT |
Entity Type | Organization |
Authorized Contact | MANAGED CARE Manager, Provider Enrollment 404-785-7876 |
Organization Subpart ? | No |
Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: GA 044-079) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2024-09-18 |