NPI | 1205190048 |
---|---|
Entity Type | Organization |
Authorized Contact | THEODRIC WATSON President 901-232-0743 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 084963950) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: MS 800032369) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2012-06-26 |