Organization
ANGELIC WINGS TRANSPORT , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M WEST (INCORPORATOR)
(770) 826-1590
Entity
Organization
Contact information
Practice address
362 B COLUMBIA DRIVE, CARROLLTON, GA 30117
(770) 755-5304
(770) 573-1935
Mailing address
PO BOX 537, TEMPLE, GA 30179-0537
(770) 755-5304
(770) 573-1935
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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