Provider Demographics
NPI:1225779010
Name:ANGEL ARMS TRANSPORT LLC
Entity Type:Organization
Organization Name:ANGEL ARMS TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JADON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-735-5413
Mailing Address - Street 1:4663 HAYGOOD RD STE 206
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5442
Mailing Address - Country:US
Mailing Address - Phone:757-735-5413
Mailing Address - Fax:757-656-7999
Practice Address - Street 1:4663 HAYGOOD RD STE 206
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5442
Practice Address - Country:US
Practice Address - Phone:757-656-7977
Practice Address - Fax:757-656-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)