Organization
BDT HOUSING SERVICES ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY PRINCE (CEO)
(901) 258-1415
Entity
Organization
Contact information
Practice address
309 REINELLI DR, MARION, AR 72301
(901) 258-1415
Mailing address
PO BOX 201, WALLS, MS 38680-0201
(901) 258-1415
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000000000000
—
AR
Enumeration date
11/02/2010
Last updated
11/02/2010
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