Organization
ANGELS ON WHEELS TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY DONITA DAUGHTRY (SELF)
(910) 967-0374
Entity
Organization
Contact information
Practice address
131 BALSAM RD, JACKSONVILLE, NC 28546-8562
(910) 967-0374
Mailing address
131 BALSAM RD, JACKSONVILLE, NC 28546-8562
(910) 967-0374
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/09/2022
Last updated
11/17/2022
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