| NPI | 1730423039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLEIN R CALVERT Member 615-224-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 170991) |
| Additional Taxonomies | 341600000X Ambulance (Licence: TN 11017) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2014-03-14 |