| NPI | 1811356546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIEST M AVANT Owner Operator 901-833-3656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 076902577) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-05-24 |