Organization
ENCORE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W GALLEGOS (OWNER)
(225) 413-8057
Entity
Organization
Contact information
Practice address
12454 WINDERMERE OAKS CT, BATON ROUGE, LA 70810-0910
(225) 413-8057
(225) 924-8085
Mailing address
12454 WINDERMERE OAKS CT, BATON ROUGE, LA 70810-0910
(225) 413-8057
(225) 924-8085
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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