Healthcare Provider Details

I. General information

NPI: 1972421659
Provider Name (Legal Business Name): I&T ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E 47TH ST
TUCSON AZ
85713-5020
US

IV. Provider business mailing address

1322 E CATHEDRAL ROCK DR
PHOENIX AZ
85048-6203
US

V. Phone/Fax

Practice location:
  • Phone: 602-816-2616
  • Fax:
Mailing address:
  • Phone: 602-816-2616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. TYREESE N WILLIAMS SR.
Title or Position: OWNER
Credential:
Phone: 602-816-2616