Organization
DRIVE-A-PAL
Active
Organization
DRIVE-A-PAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKEY HORTON (CEO)
(901) 653-8082
Entity
Organization
Contact information
Practice address
3340 POPLAR AVE STE 301, MEMPHIS, TN 38111-4684
(901) 410-2155
Mailing address
3340 POPLAR AVE STE 301, MEMPHIS, TN 38111-4684
(901) 410-2155
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
160000409
TN
347C00000X
Private Vehicle
160000409
TN
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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