Provider Demographics
NPI:1659149474
Name:A EXCELLENT CHOICE 97 LLC
Entity Type:Organization
Organization Name:A EXCELLENT CHOICE 97 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANTZ
Authorized Official - Middle Name:JR JOHN
Authorized Official - Last Name:EXCELLENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-751-8410
Mailing Address - Street 1:753 BRIDLE CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30011-4654
Mailing Address - Country:US
Mailing Address - Phone:404-751-8410
Mailing Address - Fax:
Practice Address - Street 1:753 BRIDLE CREEK WAY
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:GA
Practice Address - Zip Code:30011-4654
Practice Address - Country:US
Practice Address - Phone:404-751-8410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)