| NPI | 1205276763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC TIMMONS Owner 678-698-0270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 049691899) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: GA 049691899) |
| 347E00000X Transportation Broker (Licence: GA 049691899) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |