MINOR REQUEST NPI 1730408014

NPI Information

MINOR REQUEST is a private vehicle in Jackson, TN. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. MINOR REQUEST NPI is 1730408014. The provider is registered as an organization entity type.

The provider's business location address is:

10 NETHERWOOD DR
JACKSON, TN
ZIP 38305-441
Phone: (731) 803-8850

The provider's authorized official is Jenise Minor .
The authorized official title is Owner and has the following contact phone number (731) 803-8850.

The enumeration date for this NPI number is 5/25/2010 and was last updated on 5/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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