Organization
ADVANCED CARE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KORI A DONOVAN (PARTNER)
(574) 936-9142
Entity
Organization
Contact information
Practice address
19341 LINCOLN HWY, PLYMOUTH, IN 46563-8060
(574) 936-9142
(574) 936-9187
Mailing address
19341 LINCOLN HWY, PLYMOUTH, IN 46563-8060
(574) 936-9142
(574) 936-9187
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
54674
IN
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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