Organization
TRAIT OF LIONESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSELYN ASANTE (OWNER)
(706) 434-9384
Entity
Organization
Contact information
Practice address
863 LILLIAN PARK DR, GROVETOWN, GA 30813-0711
(706) 434-9384
Mailing address
863 LILLIAN PARK DR, GROVETOWN, GA 30813-0711
(706) 434-9384
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
09/13/2022
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