Organization
AMAZING GRACE EMS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBUSOLA ADEJOKUN (CEO)
(678) 218-7290
Entity
Organization
Contact information
Practice address
2889 LINE ST, AUSTELL, GA 30106-3902
(678) 218-7290
Mailing address
2889 LINE ST, AUSTELL, GA 30106-3902
(678) 218-7290
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
GA
Other
Enumeration date
01/16/2018
Last updated
02/11/2019
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