Organization
SILVER WINGS SENIOR TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN CHRISTOPHER CASTILLA (CEO)
(331) 998-1343
Entity
Organization
Contact information
Practice address
4147 W SANDWICH RD, SANDWICH, IL 60548-4118
(331) 998-1343
Mailing address
1520 WASHINGTON AVE APT 209, SAINT LOUIS, MO 63103-1866
(331) 998-1343
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/24/2022
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