Organization
KLUTCH NON EMERGENCY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVATOR DEMETRY LORICK JR. (OWNER)
(470) 266-6956
Entity
Organization
Contact information
Practice address
2620 MALL OF GEORGIA BLVD APT 1325, BUFORD, GA 30519-5539
(716) 510-9190
Mailing address
2620 MALL OF GEORGIA BLVD APT 1325, BUFORD, GA 30519-5539
(716) 510-9190
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
07/14/2022
Last updated
09/08/2022
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