| NPI | 1659782803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER LEON RUSSELL Director/Owner 901-679-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: TN 10179) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |