| NPI | 1629681465 |
|---|---|
| Former Legal Business Name | MAGNOLIA ANGELS TRANSPORTATION LLC |
| Entity Type | Organization |
| Authorized Contact | MYKESHIA TAYLOR Administrator 317-688-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-30 |