| NPI | 1053670927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE WILLIAMS Clinical Manager 901-382-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 057519355) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 061037039) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: CT 076459165) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |