Organization
HEAVENLY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKE WOOD (SUPERVISOR)
(678) 851-8010
Entity
Organization
Contact information
Practice address
8562 GOSWELL DR, JONESBORO, GA 30238-7044
(678) 851-8010
Mailing address
8562 GOSWELL DR, JONESBORO, GA 30238-7044
(678) 851-8010
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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