Organization
PEA TRANSIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDIE DILLARD (OWNER/OPERATOR)
(901) 387-8417
Entity
Organization
Contact information
Practice address
7623 RICHWOOD PL, MEMPHIS, TN 38125-3090
(901) 387-8417
Mailing address
7623 RICHWOOD PL, MEMPHIS, TN 38125-3090
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
076266557
TN
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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