| NPI | 1679024079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAVOITA LESANE CEO 770-826-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174400000X Specialist |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |