Organization
BRILEY WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVONDA BRILEY (OWNER)
(615) 506-0201
Entity
Organization
Contact information
Practice address
416 KC CT, MADISON, TN 37115-5376
(615) 506-0201
Mailing address
416 KC CT, MADISON, TN 37115-5376
(615) 506-0201
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182743
BUSINESS NUMBER
TN
Enumeration date
02/12/2015
Last updated
02/12/2015
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