| NPI | 1497077168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN W BENNETT Owner / Operator 865-394-0567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-04-21 |