Organization
ANGEL TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMOEIZ ELAGIB ELFAKI (OWNER)
(615) 684-5524
Entity
Organization
Contact information
Practice address
3116 SHADY TREE LN, ANTIOCH, TN 37013-2482
(615) 684-5524
Mailing address
3116 SHADY TREE LN, ANTIOCH, TN 37013-2482
(615) 684-5524
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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