Organization
N-TIME NEMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIET WALLACE (OWNER)
(901) 692-4794
Entity
Organization
Contact information
Practice address
4533 GREENCEDAR LN, BARTLETT, TN 38135-1329
(901) 218-3551
(901) 347-1123
Mailing address
4533 GREENCEDAR LN, BARTLETT, TN 38135-1329
(901) 218-3551
(901) 347-1123
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/15/2020
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