Organization
SHALETHIA TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALETHIA MIDDLETON (N/A)
(409) 622-7325
Entity
Organization
Contact information
Practice address
548 3RD ST, JASPER, TX 75951-3448
(409) 622-7325
Mailing address
548 3RD ST, JASPER, TX 75951-3448
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36202001
—
TX
Enumeration date
06/29/2021
Last updated
10/16/2024
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