# ASSURED CARE EMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245602846
- **Authorized official:** ANDRE P GRANT (COO)
- **Authorized official phone:** (404) 857-5451

## Contact information

- **Practice address:** 124 NEW HOPE RD, FAYETTEVILLE, GA 30214-1360
- **Practice address phone:** (404) 857-5451
- **Mailing address:** 124 NEW HOPE RD, FAYETTEVILLE, GA 30214-1360
- **Mailing address phone:** (404) 857-5451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 05608 | GA | Yes |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 03/02/2016
