Organization
PRESTIGIOUS WELLNESS TRANSPORTATION
Active
Organization
PRESTIGIOUS WELLNESS TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENIDA SUEZ TALLEY (OWNER)
(901) 502-7330
Entity
Organization
Contact information
Practice address
1779 KIRBY PKWY # 1215, MEMPHIS, TN 38138-3666
(901) 584-6565
Mailing address
1779 KIRBY PKWY STE 1215, MEMPHIS, TN 38138-3666
(901) 584-6565
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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