Organization
BERRY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHUN RENA BERRY (ADMINISTRATOR)
(318) 436-9717
Entity
Organization
Contact information
Practice address
604 W NEVADA AVE, VIVIAN, LA 71082-3040
(318) 436-9717
Mailing address
604 W NEVADA AVE, VIVIAN, LA 71082-3040
(318) 436-9717
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
801834222
LA
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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