Organization
DIRECT ESSENTIALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA JACKSON (MANAGING PARTNER)
(334) 561-2463
Entity
Organization
Contact information
Practice address
105 SPANISH OAK DR, PRATTVILLE, AL 36067-2317
(334) 595-5755
Mailing address
105 SPANISH OAK DR, PRATTVILLE, AL 36067-2317
(334) 595-5755
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/22/2024
Last updated
06/24/2024
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