| NPI | 1699832097 |
|---|---|
| Other Name | JTA |
| Entity Type | Organization |
| Authorized Contact | JOHNNY GULLETT General Manager 731-423-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-13 |