Organization
MAHOGANY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMARA MCCLENDON ELLIS (OWNER)
(504) 281-3597
Entity
Organization
Contact information
Practice address
6744 CARVER DR, MARRERO, LA 70072-4516
(504) 281-3597
Mailing address
1801 MANHATTAN BLVD STE 172, HARVEY, LA 70058-7300
(504) 281-3597
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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