Organization
BULLOCK MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA BULLOCK (OWNER)
(318) 330-5859
Entity
Organization
Contact information
Practice address
312 MAIN ST, MANGHAM, LA 71259-5277
(318) 330-5859
Mailing address
312 MAIN ST, MANGHAM, LA 71259-5277
(318) 330-5859
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
05/06/2026
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