Organization
HEAVENLY EXPRESS NON-EMERGENCY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERMIKA MCMILLAN (OPERATIONS MANAGER)
(901) 361-9205
Entity
Organization
Contact information
Practice address
8042 IRENE BLVD, 101, MEMPHIS, TN 38125-3848
(901) 361-9205
Mailing address
8042 IRENE BLVD, 101, MEMPHIS, TN 38125-3848
(901) 361-9205
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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