| NPI | 1427415694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUA MIMS CEO 901-487-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 113003348) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |