Organization
ANGEL J ENTERPRISES LLC
Active
Other names
Angel J Enterprises LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELL WILSON (OWNER)
(434) 480-6111
Entity
Organization
Contact information
Practice address
43 RIVES RD STE C, PETERSBURG, VA 23805-9427
(434) 480-6111
Mailing address
4807 TOOLEY DR, CHESTER, VA 23831-6631
(434) 480-6111
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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