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Organization

MICHAEL ELLERSON

Active
Other names
ELLERSON TRANSPORTATION SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE ELLERSON (OPERATIONS MANAGER)
(225) 615-2500
Entity
Organization

Contact information

Practice address
231 CRESTVIEW AVE, BATON ROUGE, LA 70807-2532
(225) 615-2500
Mailing address
8867 HIGHLAND RD # 3C, BATON ROUGE, LA 70808-6856
(225) 615-2500

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
HAVE NOT APPLIED YET
LA
Enumeration date
10/01/2010
Last updated
10/01/2010
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