| NPI | 1619235785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN L MILNER Manager 678-608-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA 004084987) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |