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Organization

DESTINY TO WELLNESS TRANSPORTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILSHUNDA LATWEE GEORGE (OWNER)
(318) 518-1308
Entity
Organization

Contact information

Practice address
2352 FERNBROOK DR, SHREVEPORT, LA 71118-5215
(318) 655-3029
Mailing address
2352 FERNBROOK DR, SHREVEPORT, LA 71118-5215
(318) 655-3029

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
04/22/2021
Last updated
04/21/2026
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