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Organization

SOUTHERN LIBERTY TRANSPORTATION COMPANY

Active
Other names
Southern Transit
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL KENNETH NELSON (GENERAL MANAGER)
(601) 549-6783
Entity
Organization

Contact information

Practice address
2506 MOUNT MORIAH RD BLDG B, MEMPHIS, TN 38115-1511
(870) 563-0737
(870) 563-0738
Mailing address
2506 MOUNT MORIAH RD, BUILDING B SUITE B451, MEMPHIS, TN 38115
(601) 549-6783
(870) 563-0738

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
10/25/2017
Last updated
06/20/2018
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