Organization Name: | CITY OF ANGELS |
NPI Number: | 1215106422 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE VERNALL CLARK (OWNER) |
Mailing Address: | 258 S Thomas Street Elberton |
State: | GA US |
Postal Code: | 306350000 |
Phone Number: | 7062835837 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | EU922 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |