Organization · NPI-2

404 Transport, LLC

Non-emergency Medical Transport (VAN) · Jonesboro, GA

NPI number1043784325
StatusActive
Last updated in NPPESJan 19, 2019

Details

NPI
1043784325
Entity type
Organization (NPI-2)
Legal business name
404 Transport, LLC
Organization subpart
No
Enumeration date
Jan 19, 2019
Last updated
Jan 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

1560b Commercial Ct
Jonesboro, GA 30238-6500

Phone 770-875-4815

Mailing address

1560b Commercial Ct
Jonesboro, GA 30238-6500

Authorized official

Michael Donnell
Partner
7708754815

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