Organization
PROFESSIONAL SERVICE ENTERPRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD WELLS (PRESIDENT)
(706) 220-8499
Entity
Organization
Contact information
Practice address
2623 WASHINGTON RD, AUGUSTA, GA 30904-5939
(706) 733-1630
Mailing address
PO BOX 9153, AUGUSTA, GA 30916-9153
(706) 771-9101
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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