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
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