| NPI | 1205411006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRMAUL WILSON Manager 678-832-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-06-15 |