Organization
DA DIP FOUNDATION
Active
Organization
DA DIP FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC HENRY TIMMONS SR. (CEO / PRESIDENT)
(504) 579-9215
Entity
Organization
Contact information
Practice address
8964 HABERSHAM DR, JONESBORO, GA 30238-4446
(504) 579-9215
Mailing address
8964 HABERSHAM DR, JONESBORO, GA 30238-4446
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
347C00000X
Private Vehicle
—
GA
347E00000X
Transportation Broker
—
GA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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