Provider Demographics
NPI:1891156089
Name:GENTLE CARE MEDICAL TRANS LLC
Entity Type:Organization
Organization Name:GENTLE CARE MEDICAL TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDI
Authorized Official - Middle Name:SALAD
Authorized Official - Last Name:SAMATAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-600-2837
Mailing Address - Street 1:530 FOREST PARKWAY SUITE B
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297
Mailing Address - Country:US
Mailing Address - Phone:404-600-2837
Mailing Address - Fax:470-428-3993
Practice Address - Street 1:530 FOREST PARKWAY SUITE B
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297
Practice Address - Country:US
Practice Address - Phone:404-600-2837
Practice Address - Fax:470-428-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport