Organization
MISS IDA TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN L MILNER (CEO)
(478) 244-6026
Entity
Organization
Contact information
Practice address
721 JALAPPA, BYROMVILLE, GA 31007
(478) 244-6026
(206) 424-0513
Mailing address
PO BOX 104, LILLY, GA 31051-0104
(478) 244-6026
(206) 424-0513
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
03/29/2012
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