Organization
FULLER PREMIER TRANSPORTATION LLC
Active
Other names
Fuller Premier Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE FULLER CHARLESTON (OWNER)
(318) 518-1971
Entity
Organization
Contact information
Practice address
3740 MERWIN ST, SHREVEPORT, LA 71109-4720
(318) 518-1971
Mailing address
3740 MERWIN ST, SHREVEPORT, LA 71109-4720
(318) 518-1971
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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