Healthcare Provider Details

I. General information

NPI: 1134582919
Provider Name (Legal Business Name): BOYCE & WELCH LOGISTICS TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7133 CHEVY CHASE
MEMPHIS TN
38125-2610
US

IV. Provider business mailing address

7133 CHEVY CHASE
MEMPHIS TN
38125-2610
US

V. Phone/Fax

Practice location:
  • Phone: 901-620-9264
  • Fax: 901-328-5592
Mailing address:
  • Phone: 901-620-9264
  • Fax: 901-328-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number StateTN

VIII. Authorized Official

Name: KATIE BOYCE BERRY
Title or Position: PRESIDENT
Credential:
Phone: 901-620-9264