Provider Demographics
NPI:1124211354
Name:SOUTHWEST HUMAN RESOURCE AGENCY
Entity Type:Organization
Organization Name:SOUTHWEST HUMAN RESOURCE AGENCY
Other - Org Name:OFFICE OF PUBLIC TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TRANSPORTATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-989-5111
Mailing Address - Street 1:1527 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-7625
Mailing Address - Country:US
Mailing Address - Phone:731-989-5111
Mailing Address - Fax:731-989-7057
Practice Address - Street 1:1527 WHITE AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-7625
Practice Address - Country:US
Practice Address - Phone:731-989-5111
Practice Address - Fax:731-989-7057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN69207235343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)