Organization · Type 2 NPI
Minor Request
Private Vehicle · Jackson, TN
NPI number
1730408014
Active
Practice location
10 Netherwood Dr
Jackson, TN 38305-9441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | 347C00000X (TN) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1730408014
Minor Request's National Provider Identifier is 1730408014, issued on May 25, 2010. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Jackson, TN. The record was last updated on May 25, 2010.