Organization
HEALING HAVEN TRANSPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL NIKOI (ADMINISTRATOR)
(703) 554-7829
Entity
Organization
Contact information
Practice address
1344 GRAND TETON DR, DESOTO, TX 75115-2939
(703) 554-7829
(469) 397-0779
Mailing address
1344 GRAND TETON DR, DESOTO, TX 75115-2939
(703) 554-7829
(469) 397-0779
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/11/2025
Last updated
03/21/2025
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