Organization
ENSURED TRANSPO CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LADAMIYA JOHNTA KARELL FLETCHER (COO)
(504) 453-4236
Entity
Organization
Contact information
Practice address
510 PARISH RD, THIBODAUX, LA 70301-2244
(337) 258-2621
Mailing address
769 DORY DR, GRETNA, LA 70056-8682
(337) 258-2621
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
LA
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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