Organization
IMETAK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE M AKINYELE (PRESIDENT)
(678) 361-5724
Entity
Organization
Contact information
Practice address
5610 GLENRIDGE DR APT 125, ATLANTA, GA 30342-1424
(678) 361-5724
Mailing address
2997 COBB PKWY STE 300-723667, ATLANTA, GA 31139
(678) 361-5724
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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