| NPI | 1457347809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA RENEE WOODRUFF Director 423-493-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |