| NPI | 1215536172 |
|---|---|
| Former Legal Business Name | COMMUNITY RESCUE MEDICAL TRANS, LLC |
| Entity Type | Organization |
| Authorized Contact | ERICA WAYNE Owner 901-205-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |