Organization
TWO COUSINS TRANSPORTATION LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJUANA LANGDON (OWNER/OPERATOR)
(419) 239-4461
Entity
Organization
Contact information
Practice address
846 WOODLAND HILLS DR APT 6, PHILADELPHIA, MS 39350-3300
(601) 416-8675
Mailing address
846 WOODLAND HILLS DR APT 6, PHILADELPHIA, MS 39350-3300
(601) 416-8675
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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