| NPI | 1871360925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED HAMDALLA Member 901-643-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-02-14 |