Organization
PEACH CARE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JACKSON MCDANIEL (OWNER)
(478) 952-4149
Entity
Organization
Contact information
Practice address
610 FOXBOROUGH LN, BONAIRE, GA 31005-3663
(478) 952-4149
Mailing address
610 FOXBOROUGH LN, BONAIRE, GA 31005-3663
(478) 952-4149
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/19/2016
Last updated
10/20/2016
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