Provider Demographics
NPI:1528380433
Name:PERSONAL ATTENTION TRANSPORT, LLC
Entity Type:Organization
Organization Name:PERSONAL ATTENTION TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:WESTMORELAND
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:229-435-9410
Mailing Address - Street 1:119 DRU CT
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:GA
Mailing Address - Zip Code:31763-4582
Mailing Address - Country:US
Mailing Address - Phone:229-435-9410
Mailing Address - Fax:229-299-4624
Practice Address - Street 1:119 DRU CT
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-4582
Practice Address - Country:US
Practice Address - Phone:229-435-9410
Practice Address - Fax:229-299-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10190343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)