Organization
ANGELS ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATAUNDRIA MICHELLE COTTON (SOLE MEMBER)
(708) 574-2772
Entity
Organization
Contact information
Practice address
17600 MAPLE ST, LANSING, IL 60438-2007
(708) 574-2772
Mailing address
17600 MAPLE ST, LANSING, IL 60438-2007
(708) 574-2772
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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