| NPI | 1770262081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA JEANNETTE JACKSON Owner/Manger 404-552-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |