| NPI | 1932368008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICIA DENISE LYONS Owner 901-503-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: TN 108001667) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |