Organization
MOBILE EXPRESS LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO P GRIMES (CEO)
(615) 347-5985
Entity
Organization
Contact information
Practice address
3408 SHELLBARK DR, WHITES CREEK, TN 37189-9113
(615) 347-5985
Mailing address
PO BOX 282008, NASHVILLE, TN 37228-8511
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
144729
TN
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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