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NPI Code Detail

MEDICARE: WANDERLUST ELITE TRANSIT

MEDICARE: WANDERLUST ELITE TRANSIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1344600000XTaxi
2347C00000XPrivate Vehicle
3347B00000XBus
4343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1518822972
Entity Type Code : Organization
Provider Name (Legal Business Name) : WANDERLUST ELITE TRANSIT
Provider Business Mailing Address
First Line : 5865 RIDGEWAY CENTER PKWY STE 300
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-4014
Country : US
Telephone Number : 901-405-4248
Fax Number :
Provider Business Practice Location Address
First Line : 5865 RIDGEWAY CENTER PKWY STE 300
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-4014
Country : US
Telephone Number : 901-833-5592
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VALENCIA BAYMON
Credential :
Telephone Number : 901-405-4248
Provider Enumeration Date : 12/18/2025
Last Update Date : 01/27/2026

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Directions to “WANDERLUST ELITE TRANSIT ” Practice Location

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