# SKY BLOSSOM LOGISTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376403642
- **Authorized official:** RYAN MILLICAN (OWNER)
- **Authorized official phone:** (479) 352-9281

## Contact information

- **Practice address:** 423 ROGERS AVE STE 201, FORT SMITH, AR 72901-1941
- **Practice address phone:** (479) 352-9281
- **Mailing address:** 2209 BRECKENRIDGE TER, GREENWOOD, AR 72936-6403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 342000000X | Transportation Network Company | — | NULL | Yes |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 11/17/2025