Organization
FUNCHESS TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO J FUNCHESS (OWNER)
(769) 233-4860
Entity
Organization
Contact information
Practice address
3907 RAINEY RD, JACKSON, MS 39212-5323
(769) 233-4860
Mailing address
1186 BRUSHY CREEK RD, GEORGETOWN, MS 39078-9610
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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