Healthcare Provider Details

I. General information

NPI: 1730804584
Provider Name (Legal Business Name): PRECISION CARE MOBILE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 10/04/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9647 MOUNT AYRE WAY
MURFREESBORO TN
37129-7810
US

IV. Provider business mailing address

1321 MURFREESBORO PIKE STE 110-E
NASHVILLE TN
37217-2626
US

V. Phone/Fax

Practice location:
  • Phone: 615-903-5818
  • Fax:
Mailing address:
  • Phone: 615-903-5818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BARRON RUSSELL
Title or Position: CEO
Credential:
Phone: 615-903-5818