Organization
ON THE MOVE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTINA LOUISE HENDERSON (OWNER)
(662) 251-5074
Entity
Organization
Contact information
Practice address
111 STOKES RD, COLUMBUS, MS 39702-7541
(662) 251-5074
Mailing address
111 STOKES RD, COLUMBUS, MS 39702-7541
(662) 251-5074
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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