Provider Demographics
NPI:1821869512
Name:ANGELS ON THE RUN TRANSPORTATION AND COURIER SERVICES
Entity Type:Organization
Organization Name:ANGELS ON THE RUN TRANSPORTATION AND COURIER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHONQUELL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-357-3053
Mailing Address - Street 1:7108 RUE LOUIS PHILLIPE
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-6703
Mailing Address - Country:US
Mailing Address - Phone:504-357-3053
Mailing Address - Fax:
Practice Address - Street 1:7108 RUE LOUIS PHILLIPE
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-6703
Practice Address - Country:US
Practice Address - Phone:504-357-3053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)