Provider Demographics
NPI:1952097891
Name:HALO EXPRESS
Entity Type:Organization
Organization Name:HALO EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-607-4182
Mailing Address - Street 1:PO BOX 793
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-0793
Mailing Address - Country:US
Mailing Address - Phone:901-607-4182
Mailing Address - Fax:
Practice Address - Street 1:1597 TICONDEROGA DR
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-2107
Practice Address - Country:US
Practice Address - Phone:901-607-4182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty