| NPI | 1215106422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE VERNALL CLARK Owner 706-283-5837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: GA EU922) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA EU922) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |