Organization
CONNECTED CARE TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUAVISA NICOLE HENDERSON LPN (CEO)
(855) 255-7337
Entity
Organization
Contact information
Practice address
5865 RIDGEWAY CENTER PKWY, SUITE 300, MEMPHIS, TN 38120-4032
(855) 255-7337
(855) 255-7337
Mailing address
5865 RIDGEWAY CENTER PKWY, SUITE 300, MEMPHIS, TN 38120-4032
(855) 255-7337
(855) 255-7337
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
090776142
TN
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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