# K RENEE NON EMERGENCY MEDICAL TRANSPORTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790299345
- **Authorized official:** KAREN RENEE WALLACE (PRESIDENT/CEO)
- **Authorized official phone:** (504) 559-6192

## Contact information

- **Practice address:** 426 N MAGNOLIA ST, GRAMERCY, LA 70052
- **Practice address phone:** (504) 559-6192
- **Mailing address:** PO BOX 463, LUTCHER, LA 70071-0463
- **Mailing address phone:** (504) 559-6192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2017
- **Last updated:** 11/18/2017