Organization
TRANSPORTATION SQUAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE TYREE (OWNER)
(318) 288-1949
Entity
Organization
Contact information
Practice address
6604 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-5006
(318) 288-1949
Mailing address
6604 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-5006
(318) 288-1949
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
09/20/2019
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