Organization
SLM NONEMERGENCY MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AKEMEY CHARLENE JACKSON LPN (OWNER)
(985) 224-9604
Entity
Organization
Contact information
Practice address
737 PAUL MAILLARD ROAD, LULING, LA 70070
(985) 331-2309
(985) 331-2310
Mailing address
P.O. BOX 1560, LULING, LA 70070-1560
(985) 331-2309
(985) 331-2310
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
04/22/2010
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