Organization
AMBITIOUS CARE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANEDRIA MONIQUE JACKSON (OWNER)
(229) 326-3641
Entity
Organization
Contact information
Practice address
707 3RD ST W STE C, TIFTON, GA 31794-8233
(229) 646-1146
Mailing address
406 BELMONT AVE, TIFTON, GA 31794-4525
(229) 326-3641
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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