| NPI | 1730365685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA OWENS Owner/Manager 901-212-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2010-06-25 |