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Organization

JA'VINE TRANSPORTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA CLARK (OWNER)
(706) 769-1010
Entity
Organization

Contact information

Practice address
1145 GOLDEN VALLEY CT, LAWRENCEVILLE, GA 30043-6372
(706) 769-1010
Mailing address
PO BOX 491832, LAWRENCEVILLE, GA 30049-0031
(706) 769-1010

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/21/2021
Last updated
07/21/2021
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