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Organization

AN EXCEPTIONAL TRANSPORTATION SERVICE L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JENNY KIM CHOI (PROGRAM DIRECTOR)
(318) 688-2146
Entity
Organization

Contact information

Practice address
6007 FINANCIAL PLZ # 5E, SHREVEPORT, LA 71129-2655
(318) 688-2146
(318) 688-2013
Mailing address
6007 FINANCIAL PLZ # 5E, SHREVEPORT, LA 71129-2655
(318) 688-2146
(318) 688-2013

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1018651
UNISYS
LA
Enumeration date
03/03/2008
Last updated
03/03/2008
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