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NPI Code Detail

MEDICARE: ANGEL HEALTHCARE EXPRESS

MEDICARE: ANGEL HEALTHCARE EXPRESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1245423565
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGEL HEALTHCARE EXPRESS
Provider Business Mailing Address
First Line : 2619 PRODUCT DR
Second Line : SUITE 106
City : ROCHESTER HILLS
State : MI
Zip : 48309-3807
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Provider Business Practice Location Address
First Line : 2619 PRODUCT DR
Second Line : SUITE 106
City : ROCHESTER HILLS
State : MI
Zip : 48309-3807
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Authorized Official
Title or Position : PRESIDENT, CEO
Name : VINCENT FELICE SALVIA
Credential :
Telephone Number : 248-844-9650
Provider Enumeration Date : 08/21/2007
Last Update Date : 08/21/2007

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Directions to “ANGEL HEALTHCARE EXPRESS ” Practice Location

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