| NPI | 1568044451 |
|---|---|
| Doing Business As | JA'VINE HCSS |
| Entity Type | Organization |
| Authorized Contact | MELINDA CLARK Owner 706-769-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |