| NPI | 1538307079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA LATRIC DOUGLAS Owner/Manager 423-322-6809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 0043206) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-02-11 |