| NPI | 1821361791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY KELLY LANE Owner 901-335-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 111004522) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2013-02-13 |