Healthcare Provider Details

I. General information

NPI: 1164379210
Provider Name (Legal Business Name): CONVEYANCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21078 NW 200TH AVE
HIGH SPRINGS FL
32643-9585
US

IV. Provider business mailing address

21078 NW 200TH AVE
HIGH SPRINGS FL
32643-9585
US

V. Phone/Fax

Practice location:
  • Phone: 904-894-9639
  • Fax:
Mailing address:
  • Phone: 904-894-9639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SOSHANNA ANTIONETTE WILSON
Title or Position: OWNER
Credential:
Phone: 904-894-9639