Organization
PROVIDENCE EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIA K. TRAYLOR (OWNER)
(901) 550-9100
Entity
Organization
Contact information
Practice address
1283 BREEDLOVE ST, MEMPHIS, TN 38107-1640
(901) 550-9100
(901) 794-7877
Mailing address
5830 MOUNT MORIAH RD, SUITE 18C, MEMPHIS, TN 38115-1607
(901) 550-9100
(901) 794-7877
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
11/22/2011
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