| NPI | 1891566949 |
|---|---|
| Doing Business As | OWNER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHUNTAE PERDUE Owner 706-409-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |