Organization
TESFA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMAZ H BESRAT (OWNER)
(615) 308-1619
Entity
Organization
Contact information
Practice address
107 WINDSTAR BAY BLVD, HENDERSONVILLE, TN 37075-4865
(615) 308-1619
Mailing address
107 WINDSTAR BAY BLVD, HENDERSONVILLE, TN 37075-4865
(615) 308-1619
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0114530
TN
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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