| NPI | 1528523073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE LADYRELL WALKER Owner 770-788-1739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |