| NPI | 1013240670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA PICKETT JACKSON Owner 901-481-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-21 |