Organization
ROSES FAITH MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ERVIN WILEY (OWNER)
(503) 820-8126
Entity
Organization
Contact information
Practice address
4395 FULTON INDUSTRIAL BLVD SUITE D PMB1527, SUITE D PMB1527, ATLANTA, GA 30336
(503) 820-8126
Mailing address
4395 FULTON INDUSTRIAL BLVD SUITE D PMB 1527, ATLANTA, GA 30336
(503) 820-8126
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
09/25/2023
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