Organization · NPI-2

Eseryt Care Trans, LLC

Ambulance, Land Transport · Lithonia, GA

NPI number1689110371
StatusActive
Last updated in NPPESJul 12, 2021

Details

NPI
1689110371
Entity type
Organization (NPI-2)
Legal business name
Eseryt Care Trans, LLC
Organization subpart
No
Enumeration date
Jan 18, 2017
Certification date
Jul 12, 2021
Last updated
Jul 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3416L0300X Ambulance, Land Transport––Yes

Practice location

2154 Stone Mountain Lithonia Rd Ste A
Lithonia, GA 30058-5251

Phone 470-545-0725

Mailing address

Po Box 811
Tucker, GA 30085-0811

Phone 470-545-0725

Authorized official

Royan Gay
President
6789203171

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