| NPI | 1255562153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TERRELL WADDELL Partner 901-219-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 097843376) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-08-08 |