| NPI | 1679749832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BLACKEN Owner 678-755-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-14 |