| NPI | 1811556566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE STORY Fiscal Operations Manager 706-624-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-11 |