| NPI | 1518429216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN MICHELLE SUTTLES-PICKETT Owner 423-432-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |