Provider Demographics
NPI:1629607122
Name:WORLES ON WHEELS
Entity Type:Organization
Organization Name:WORLES ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:WORLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-864-3301
Mailing Address - Street 1:687 BALTIC ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-2401
Mailing Address - Country:US
Mailing Address - Phone:901-864-3301
Mailing Address - Fax:
Practice Address - Street 1:687 BALTIC ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-2401
Practice Address - Country:US
Practice Address - Phone:901-864-3301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)