Provider Demographics
NPI:1003127812
Name:ANGELCARE TRANSPORT LLC
Entity Type:Organization
Organization Name:ANGELCARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-887-7433
Mailing Address - Street 1:PO BOX 210760
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48321-0760
Mailing Address - Country:US
Mailing Address - Phone:866-737-6228
Mailing Address - Fax:
Practice Address - Street 1:9509 PINE KNOB RD
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-2139
Practice Address - Country:US
Practice Address - Phone:866-737-6228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle