Healthcare Provider Details

I. General information

NPI: 1588588495
Provider Name (Legal Business Name): ROYAL HAVEN MOBILITY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5811 HICKORY CMNS
MEMPHIS TN
38141-5809
US

IV. Provider business mailing address

5811 HICKORY CMNS
MEMPHIS TN
38141-5809
US

V. Phone/Fax

Practice location:
  • Phone: 662-874-4524
  • Fax:
Mailing address:
  • Phone: 662-812-5965
  • 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: MS. TEQUILLA LASHARA DYSON-FLEMING
Title or Position: OWNER
Credential:
Phone: 901-812-5965