Organization
SAGRADA AMBULANCE LLC
Active
Other names
Sagrada
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL NOVELO (SERVICE DIRECTOR)
(678) 988-5482
Entity
Organization
Contact information
Practice address
300 W I PKWY # 203, DALLAS, GA 30132-5079
(789) 885-4826
Mailing address
457 NATHAN DEAN BLVD # 105-99, DALLAS, GA 30132-4911
(789) 885-4826
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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