Organization
DEFINITIVE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBENZA COLEMAN (OWNER)
(225) 229-3152
Entity
Organization
Contact information
Practice address
2333 S MAGNOLIA DR, BAKER, LA 70714-3321
(225) 229-3152
Mailing address
2333 S MAGNOLIA DR, BAKER, LA 70714-3321
(225) 229-3152
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
09/14/2020
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