Organization
XTRA MILE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAIN MARIE GUIDRY (OWNER)
(337) 210-3055
Entity
Organization
Contact information
Practice address
1040 MIM CALLIER DR, BREAUX BRIDGE, LA 70517-7215
(337) 210-3055
(337) 210-3058
Mailing address
1040 MIM CALLIER DR, BREAUX BRIDGE, LA 70517-7215
(337) 210-3055
(337) 210-3058
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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