Organization
GOTCHA TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA D MYERS MOYERS (OFFICER)
(423) 293-2905
Entity
Organization
Contact information
Practice address
169 SANITA VILLAGE RD, BEAN STATION, TN 37708-4620
(423) 293-2905
Mailing address
169 SANITA VILLAGE RD, BEAN STATION, TN 37708-4620
(423) 293-2905
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045678
—
TN
Enumeration date
12/23/2018
Last updated
08/05/2020
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