Organization
DELIVERANCE TRANSPORTATION SVC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA FRAZIER (OWNER)
(225) 810-8427
Entity
Organization
Contact information
Practice address
6345 HWY 73, GEISMAR, LA 70734
(225) 810-8427
Mailing address
6345 HWY 73, GEISMAR, LA 70734
(225) 810-8427
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799688
—
LA
Enumeration date
08/21/2009
Last updated
08/21/2009
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