| NPI | 1326383860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DEGNEN Manager 706-613-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |