Organization
HEAVENLY TRANSPORTATION & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TAMARA GORDON (CEO)
(786) 797-0382
Entity
Organization
Contact information
Practice address
5827 TREASURE COVE RD, COVE, TX 77523-1508
(786) 797-0382
Mailing address
5827 TREASURE COVE RD, COVE, TX 77523-1508
(786) 797-0382
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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