| NPI | 1639561988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QALANDRIA SADE BRUCE Owner Individual 901-825-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 104570461) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |