Organization
NEMTRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENALDO TAYLOR (PRESIDENT)
(901) 644-4793
Entity
Organization
Contact information
Practice address
120 AUSTIN DR, OAKLAND, TN 38060-4088
(901) 644-4793
Mailing address
120 AUSTIN DR, OAKLAND, TN 38060-4088
(901) 644-4793
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
TN
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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