Organization
SACRED HEART TRANSPORTATION LLC
Active
Organization
SACRED HEART TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE DACHA PROSPER (PRESIDENT)
(347) 369-8988
Entity
Organization
Contact information
Practice address
501 RUGBY CT, PALMETTO, GA 30268-8645
(678) 561-0495
(877) 230-4123
Mailing address
501 RUGBY CT, PALMETTO, GA 30268-8645
(678) 561-0495
(877) 230-4123
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5846
GA
Other
Enumeration date
07/03/2012
Last updated
06/21/2013
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