Organization
INITIAL CHOICE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA RENEE MARTIN (DIRECTOR/OWNER)
(423) 320-4605
Entity
Organization
Contact information
Practice address
6811 DEERWOOD DR, HARRISON, TN 37341-9465
(423) 320-4605
Mailing address
6811 DEERWOOD DR, HARRISON, TN 37341-9465
(423) 635-1745
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
CBL-113201
TN
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/10/2018
Last updated
04/11/2026
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