| NPI | 1508260159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIWOT DESTA Owner 404-789-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA occ009191) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2016-07-12 |