Organization
HEAVENLY KINGDOM TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE HARRIS (EXECUTIVE DIRECTOR)
(757) 514-9966
Entity
Organization
Contact information
Practice address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 514-9966
Mailing address
PO BOX 205, SUFFOLK, VA 23439-0205
(757) 514-9966
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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