Organization
SELFMADE TRANSPORTATION SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWAN SEKOU JORDAN (OWNER)
(504) 228-7836
Entity
Organization
Contact information
Practice address
750 E I 10 SERVICE RD STE G, SLIDELL, LA 70461-5535
(985) 326-3495
(985) 326-6513
Mailing address
750 E I 10 SERVICE RD STE G, SLIDELL, LA 70461-5535
(985) 326-3495
(985) 326-6513
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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