| NPI | 1679104731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANISHIA CHARRISSE JONES Owner 901-230-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-02-24 |