Provider Demographics
NPI:1245423565
Name:ANGEL HEALTHCARE EXPRESS
Entity Type:Organization
Organization Name:ANGEL HEALTHCARE EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:FELICE
Authorized Official - Last Name:SALVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-844-9650
Mailing Address - Street 1:2619 PRODUCT DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3807
Mailing Address - Country:US
Mailing Address - Phone:248-844-9650
Mailing Address - Fax:248-844-9651
Practice Address - Street 1:2619 PRODUCT DR
Practice Address - Street 2:SUITE 106
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3807
Practice Address - Country:US
Practice Address - Phone:248-844-9650
Practice Address - Fax:248-844-9651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)