Provider Demographics
NPI:1114628468
Name:SACRED HANDS TRANSPORTATION LLC
Entity type:Organization
Organization Name:SACRED HANDS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARSON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:904-229-1290
Mailing Address - Street 1:1113 PERSIMMON DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-9071
Mailing Address - Country:US
Mailing Address - Phone:904-229-1290
Mailing Address - Fax:
Practice Address - Street 1:1113 PERSIMMON DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-9071
Practice Address - Country:US
Practice Address - Phone:904-229-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)