| NPI | 1477884336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J DAVIS Representative 678-488-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-08-10 |