| NPI | 1255118667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGELLA BRADLEY CEO 706-347-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |