Provider Demographics
NPI:1376276402
Name:LITTLE FLOWER MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:LITTLE FLOWER MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-936-9897
Mailing Address - Street 1:16888 NISQUALLI RD STE 240
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-9703
Mailing Address - Country:US
Mailing Address - Phone:760-936-9897
Mailing Address - Fax:760-980-2589
Practice Address - Street 1:16888 NISQUALLI RD STE 240
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-9703
Practice Address - Country:US
Practice Address - Phone:760-936-9897
Practice Address - Fax:760-980-2589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty