| NPI | 1194415000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LENORR Owner/President 678-551-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |