| NPI | 1093324337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRESHALIA M JACKSON Owner/Manger 423-888-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 3416L0300X Ambulance, Land Transport | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |