Organization
ELITE AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T HENDERLIGHT (PRESIDENT)
(615) 656-4477
Entity
Organization
Contact information
Practice address
228 W MAIN ST STE D, LEBANON, TN 37087-2681
(615) 656-4777
(615) 656-4471
Mailing address
PO BOX 1597, LEBANON, TN 37088-1597
(615) 656-4477
(615) 656-4471
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
TN
Other
Enumeration date
06/06/2016
Last updated
08/28/2024
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