Organization
YOUTH MOBILE LLC
Active
Organization
YOUTH MOBILE LLC
Active
Other names
YOUTH MOBILE TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLINE C DOMINGUEZ CEO (OWNER/DIRECTOR)
(404) 401-9885
Entity
Organization
Contact information
Practice address
1070 IRIS DR SW, CONYERS, GA 30094-5901
(404) 401-9885
Mailing address
1070 IRIS DR SW, CONYERS, GA 30094-5901
(404) 401-9885
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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