Organization · NPI-2

Guiding Light Transportation, LLC

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

NPI number1407174618
StatusActive
Last updated in NPPESMay 12, 2010

Details

NPI
1407174618
Entity type
Organization (NPI-2)
Legal business name
Guiding Light Transportation, LLC
Organization subpart
No
Enumeration date
May 12, 2010
Last updated
May 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)2010000114GAYes

Practice location

3601 Preserve Wood Ln
Loganville, GA 30052-5885

Phone 678-344-1199 · Fax 678-807-5515

Mailing address

3601 Preserve Wood Ln
Loganville, GA 30052-5885

Phone 678-344-1199 · Fax 678-807-5515

Authorized official

Andrea S Baird
Member
6783441199

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