| NPI | 1922610476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA MICHELLE STEPHENSON Administrator 470-545-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-04-17 |