Organization
RENOWN ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIARA HENDERSON (OWNER)
(901) 500-8182
Entity
Organization
Contact information
Practice address
1423 ARISTIDES CT APT 301, CORDOVA, TN 38016-2556
(901) 500-8182
Mailing address
1423 ARISTIDES CT APT 301, CORDOVA, TN 38016-2556
(901) 500-8182
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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