Organization
IRVINE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE IRVINE JR. (OWNER)
(225) 301-8643
Entity
Organization
Contact information
Practice address
4297 OAKLAND DR, ETHEL, LA 70730-3140
(225) 301-8643
Mailing address
4297 OAKLAND DR, ETHEL, LA 70730-3140
(225) 301-8643
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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