Organization
MPM'S MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVY JACOBS (MANAGEMENT)
(318) 572-3102
Entity
Organization
Contact information
Practice address
8169 MYRTLEWOOD RD, GREENWOOD, LA 71033-3025
(318) 572-3102
Mailing address
8169 MYRTLEWOOD RD, GREENWOOD, LA 71033-3025
(318) 572-3102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
06/08/2023
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