Organization
ANGEL TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORA PEGUES (ADMINISTRATOR)
(662) 843-3785
Entity
Organization
Contact information
Practice address
8869 HIGHWAY 51, COURTLAND, MS 38620-9692
(662) 843-3785
(662) 843-3401
Mailing address
PO BOX 1681, CLEVELAND, MS 38732-1681
(662) 843-3785
(662) 843-3401
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
800587752
MS
347B00000X
Bus
800587752
MS
347C00000X
Private Vehicle
800587752
MS
Other
Enumeration date
07/28/2014
Last updated
06/15/2015
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