| Organization Name: | LIFECARE EMS OF GEORGIA, LLC |
| NPI Number: | 1205112752 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN HANEY (OWNER) |
| Mailing Address: | 224 Tony Jones St Royston |
| State: | GA US |
| Postal Code: | 306624223 |
| Phone Number: | 7062450689 |
| Fax Number: | 7062456187 |
| NPI Enumeration Date: | 10/28/2011 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |