Outreach Transportation Service
NPI #1487038873 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1487038873
- Entity Type
- Organization
- Organization Name
- Outreach Transportation Service
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 15, 2015
- Last Updated
- Jul 15, 2015
Practice Location
- Address
- 945 CRESTMARK BLVD APT 329
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-2628
- Phone
- (770) 572-5336
Authorized Official
- Name
- MRS. RONETTA ANNE WILSON
- Title
- OWNER
- Phone
- (770) 572-5336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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