| NPI | 1639530264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MILLER Manager 901-331-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 63234052) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |