Organization
HEAVENLY TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MICHELLE BUCHANAN RN (OWNER/ORGANIZER)
(404) 567-0757
Entity
Organization
Contact information
Practice address
551 N EXPRESSWAY, GRIFFIN, GA 30223-2076
(404) 567-0757
Mailing address
551 N EXPRESSWAY, GRIFFIN, GA 30223-2076
(404) 567-0757
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9565
GA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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