| NPI | 1720644230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUALA MONIQUE HERMAN Co Owner 615-669-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |