Provider Demographics
NPI:1619521366
Name:SURE CARE EMS
Entity type:Organization
Organization Name:SURE CARE EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPEARATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-389-3021
Mailing Address - Street 1:2136 W PARK CT BLDG 2
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3528
Mailing Address - Country:US
Mailing Address - Phone:404-996-4182
Mailing Address - Fax:
Practice Address - Street 1:2136 W PARK CT BLDG 2
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3528
Practice Address - Country:US
Practice Address - Phone:404-996-4182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance