Organization
HEAVENLY ANGELS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUWAYNE JUSTIN WILLIAMS (OWNER)
(504) 470-7775
Entity
Organization
Contact information
Practice address
2712 SHANNON DR, VIOLET, LA 70092
(504) 470-7775
Mailing address
2712 SHANNON DR, VIOLET, LA 70092-2873
(504) 470-7775
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
008589784
LA
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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