Organization
REPRAH ENTERPRISES,LLC
Active
Organization
REPRAH ENTERPRISES,LLC
Active
Parent organization
REPRAH ENTERPRISES,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REPRAH ENTERPRISES,LLC
Authorized official
NICOLE HARPER (COO)
(404) 246-4544
Entity
Organization
Contact information
Practice address
927 GRANITE SPRINGS LN, STONE MOUNTAIN, GA 30083-5102
(404) 246-4544
(678) 949-9293
Mailing address
927 GRANITE SPRINGS LN, STONE MOUNTAIN, GA 30083-5102
(404) 246-4544
(678) 949-9293
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
044016701
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044016701
DHR
GA
Enumeration date
11/19/2010
Last updated
11/19/2010
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