| NPI | 1306355177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA FOUNTAIN BUTLER Office Manager 770-572-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |