Organization
SUPERIOR DRIVERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA O BODEN (OWNER)
(318) 681-9935
Entity
Organization
Contact information
Practice address
2620 CENTENARY BLVD, SUITE 312, SHREVEPORT, LA 71104-3356
(318) 681-9935
(318) 681-9938
Mailing address
2620 CENTENARY BLVD, SUITE 312, SHREVEPORT, LA 71104-3356
(318) 681-9935
(318) 681-9938
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/13/2012
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