| NPI | 1609924463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON V CODY Executive Director 423-461-8209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 501(C)(3)) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-07-10 |