Organization
MAGNOLIA ANGELS TRANSPORTATION LLC
Active
Other names
Magnolia Angels Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MYKESHIA TAYLOR (ADMINISTRATOR)
(317) 688-8204
Entity
Organization
Contact information
Practice address
635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
(317) 220-8499
Mailing address
635 E 106TH ST, INDIANAPOLIS, IN 46280-1329
(317) 220-8499
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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