Organization
GLOW TRANSPORTATION SERVICES
Active
Other names
GLOW Transportation Services
Organization subpart
No
Provider details
NPI number
Authorized official
PRENTISS FULTS (OWNER/MANAGER)
(769) 572-4939
Entity
Organization
Contact information
Practice address
4516 OFFICE PARK DR STE 1, JACKSON, MS 39206-6036
(769) 572-4939
(888) 508-5557
Mailing address
4516 OFFICE PARK DR STE 1, JACKSON, MS 39206-6036
(769) 572-4939
(888) 508-5557
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MS
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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