Organization
BLOODSTONE AND PEARL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA MICHELLE STEPHENSON RN (ADMINISTRATOR)
(470) 545-0860
Entity
Organization
Contact information
Practice address
1315 MILSTEAD RD NE STE 101, CONYERS, GA 30012-3824
(470) 545-0860
Mailing address
7002 ANNIE WALK, LITHONIA, GA 30038-4675
(470) 545-0860
(470) 300-7778
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003217560G
—
GA
Enumeration date
08/17/2020
Last updated
04/17/2023
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