Organization
IMMEDIATE RESPONSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA OWENS (OWNER/MANAGER)
(901) 212-9001
Entity
Organization
Contact information
Practice address
3544 DEERWOOD AVE, MEMPHIS, TN 38111-5410
(901) 212-9001
(901) 757-1146
Mailing address
3544 DEERWOOD AVE, MEMPHIS, TN 38111-5410
(901) 212-9001
(901) 757-1146
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/10/2008
Last updated
06/25/2010
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