| 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 |