Organization
SPRING BLOSSOM TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORCEDIA THURMAN (ORGANIZER)
(678) 544-6427
Entity
Organization
Contact information
Practice address
4809 LOCHERBY DR, FAIRBURN, GA 30213-4385
(678) 544-6427
Mailing address
4809 LOCHERBY DR, FAIRBURN, GA 30213-4385
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
08/11/2022
Last updated
08/12/2022
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