Organization
RIDE AWAY TRANSPORTATION LLC
Active
Organization
RIDE AWAY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANESSIA SAMUEL (ADMINISTRATOR/MANAGER)
(478) 297-6022
Entity
Organization
Contact information
Practice address
860 NORTH AVE, MACON, GA 31211-1811
(478) 297-6022
Mailing address
860 NORTH AVE, MACON, GA 31211-1811
(478) 297-6022
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2507047
GA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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