Provider Demographics
NPI:1386455046
Name:GLORY CARRIERS TRANSPORT
Entity type:Organization
Organization Name:GLORY CARRIERS TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MANDIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-393-4243
Mailing Address - Street 1:1124 KNIGHTS PL
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2251
Mailing Address - Country:US
Mailing Address - Phone:863-393-4243
Mailing Address - Fax:
Practice Address - Street 1:1124 KNIGHTS PL
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2251
Practice Address - Country:US
Practice Address - Phone:863-393-4243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)