Organization
TENDER CARE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNITA BENNETT (CEO/PRESIDENT)
(478) 951-4048
Entity
Organization
Contact information
Practice address
725 MAGNOLIA DR, MACON, GA 31217-4139
(478) 951-4048
(478) 352-0004
Mailing address
1223 POLK XING, MCDONOUGH, GA 30252-8070
(478) 951-4048
(478) 352-0004
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RAU2233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001182
MACON-BIBB COUNTY BUSINESS LICENSE
GA
Enumeration date
09/22/2016
Last updated
09/22/2016
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