Organization
GOLDEN CROSS LOGISTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL GOLDEN (OWNER/OPERATOR)
(615) 766-7166
Entity
Organization
Contact information
Practice address
1211 BELL RD, APT 57, ANTIOCH, TN 37013-3774
(615) 766-7166
Mailing address
1211 BELL RD, APT 57, ANTIOCH, TN 37013-3774
(615) 766-7166
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
184064
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T000483
—
TN
Enumeration date
02/24/2015
Last updated
02/24/2015
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