Provider Demographics
NPI: | 1336446582 |
---|---|
Name: | PS WITH LOVE INC |
Entity type: | Organization |
Organization Name: | PS WITH LOVE INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF OF OPERATIONS |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JOY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TEAL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 901-368-0818 |
Mailing Address - Street 1: | 3525 RIDGE MEADOW PKWY |
Mailing Address - Street 2: | SUITE 100 |
Mailing Address - City: | MEMPHIS |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 38115-4041 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 901-368-0818 |
Mailing Address - Fax: | 206-984-3792 |
Practice Address - Street 1: | 3525 RIDGE MEADOW PKWY |
Practice Address - Street 2: | SUITE 100 |
Practice Address - City: | MEMPHIS |
Practice Address - State: | TN |
Practice Address - Zip Code: | 38115-4041 |
Practice Address - Country: | US |
Practice Address - Phone: | 901-368-0818 |
Practice Address - Fax: | 206-984-3792 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-02-24 |
Last Update Date: | 2011-06-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TN | 10005290 | 343900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |