Organization
TOTAL SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE EKWU (ADMINISTRATOR)
(678) 735-2828
Entity
Organization
Contact information
Practice address
3484 PEMBROOK FARM WAY SW, SNELLVILLE, GA 30039-7615
(678) 353-6140
(678) 691-8253
Mailing address
3484 PEMBROOK FARM WAY SW, SNELLVILLE, GA 30039-7615
(678) 353-6140
(678) 691-8253
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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