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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