NPI 1104315886

Glow Transportation Services

Organisation Non-emergency Medical Transport (VAN) Jackson, MS

Practice location

Address: 4516 Office Park Dr STE 1, Jackson, MS 39206-6036
Phone: (769) 572-4939
Fax: (888) 508-5557

Authorised official

Name: Prentiss Fults
Title: Owner/Manager
Phone: (769) 572-4939

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X

Other Non-emergency Medical Transport (VAN) providers in Mississippi →

Registry record

NPI: 1104315886
Entity type: Organization
NPI issued: 8 May 2018
Record last updated: 8 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.