Business Enterprise
NPI #1639855307 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1639855307
- Entity Type
- Organization
- Organization Name
- Business Enterprise
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jun 26, 2023
- Last Updated
- Jun 26, 2023
Practice Location
- Address
- 300 SOUTHGATE DR
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-4238
- Phone
- (470) 651-5163
Authorized Official
- Name
- JOHN ROBERT PITTS III
- Title
- OWNER/OPERATOR
- Phone
- (470) 651-5163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Non-emergency Medical Transport (VAN) |
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