Organization Name: | COUNTRY CAB & TRANSPORTATION LLC |
NPI Number: | 1396989794 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD DANIEL (OWNER) |
Mailing Address: | 2202 Burt Creek Rd Dawsonville |
State: | GA US |
Postal Code: | 305343127 |
Phone Number: | 7062651641 |
Fax Number: | 7062652353 |
NPI Enumeration Date: | 04/29/2009 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | LIC-10-08-5777 |
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. |