Provider Demographics
NPI:1447011804
Name:GUARDIAN ANGELS TRANSPORTATION SERVICES,LLC
Entity type:Organization
Organization Name:GUARDIAN ANGELS TRANSPORTATION SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:N
Authorized Official - Last Name:EXPOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-406-1129
Mailing Address - Street 1:1351 OAKBROOK DR STE 158
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-6243
Mailing Address - Country:US
Mailing Address - Phone:855-208-9776
Mailing Address - Fax:404-990-4784
Practice Address - Street 1:1351 OAKBROOK DR STE 158
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-6243
Practice Address - Country:US
Practice Address - Phone:855-208-9776
Practice Address - Fax:404-990-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)