Organization
ESSENTIAL TRANSPORT PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY KELLY (CFO)
(904) 504-5529
Entity
Organization
Contact information
Practice address
2245 GODBY RD STE 130, COLLEGE PARK, GA 30349-5059
(779) 925-5339
(866) 798-8989
Mailing address
2245 GODBY RD STE 130, COLLEGE PARK, GA 30349-5059
(770) 925-5339
(866) 798-8989
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3416L0300X
Land Ambulance
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003299820A
—
GA
Enumeration date
05/09/2022
Last updated
05/04/2026
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