| NPI | 1548053267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMECIA JACKSON Owner Lpn 423-355-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-31 |