Organization
SOUL HOUSE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY STEWRAD SR. (PRESIDENT)
(770) 256-4736
Entity
Organization
Contact information
Practice address
7360 JUMPERS TRL, FAIRBURN, GA 30213-4803
(770) 256-4736
Mailing address
7360 JUMPERS TRL, FAIRBURN, GA 30213-4803
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
04/30/2008
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