Organization
PURPLE HEARTS EMS, LLC
Active
Other names
Purple Hearts EMS
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ALLEN (EXECUTIVE STAFF)
(678) 978-4855
Entity
Organization
Contact information
Practice address
1700 PENNSYLVANIA AVE STE 109, MCDONOUGH, GA 30253-9115
(678) 978-4855
Mailing address
1700 PENNSYLVANIA AVE STE 109, MCDONOUGH, GA 30253-9115
(678) 978-4855
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770253684
NPI
—
Enumeration date
09/14/2021
Last updated
11/03/2021
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