Organization
STACY TRANSIT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER LOCKHART JR. (OWNER)
(732) 513-2856
Entity
Organization
Contact information
Practice address
801 GENTLE BEN AVE, YAZOO CITY, MS 39194-4704
(732) 513-2856
Mailing address
PO BOX 2497, MADISON, AL 35758-5422
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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