# DADE COUNTY, GEORGIA

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

## Provider details

- **NPI number:** 1629377973
- **Authorized official:** MR. ALEX CASE (DIRECTOR)
- **Authorized official phone:** (706) 657-4625

## Contact information

- **Practice address:** 71 CASE AVE, TRENTON, GA 30752-2429
- **Practice address phone:** (706) 657-4625
- **Practice address fax:** (706) 657-5116
- **Mailing address:** PO BOX 613, TRENTON, GA 30752-0613
- **Mailing address phone:** (706) 657-4625
- **Mailing address fax:** (706) 657-5116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 041-01 | GA | Yes |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 03/24/2011