Provider Demographics
NPI:1124851340
Name:ZION ANGELS TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:ZION ANGELS TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEDRA
Authorized Official - Middle Name:SHONTRAYL
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-263-5221
Mailing Address - Street 1:5425 TRALEE PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4437
Mailing Address - Country:US
Mailing Address - Phone:919-931-6073
Mailing Address - Fax:984-272-2500
Practice Address - Street 1:5425 TRALEE PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4437
Practice Address - Country:US
Practice Address - Phone:919-931-6073
Practice Address - Fax:984-272-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)