Organization
LITTLE ANGEL MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOVINDA GURUNG (CEO (PRESIDENT)/OWNER)
(904) 444-5279
Entity
Organization
Contact information
Practice address
7 SHADBUSH WAY, WEST HENRIETTA, NY 14586-9432
(585) 444-0065
(585) 444-0126
Mailing address
7 SHADBUSH WAY, WEST HENRIETTA, NY 14586-9432
(585) 444-0065
(585) 444-0126
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05566101
—
NY
Enumeration date
10/18/2019
Last updated
10/18/2019
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