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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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