Organization
ACTIVE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALEIRE SUE SCHAFFNER (OWNER)
(318) 294-9529
Entity
Organization
Contact information
Practice address
1824 BENTON RD, BOSSIER CITY, LA 71111-3517
(318) 584-7133
(318) 584-7135
Mailing address
1824 BENTON RD, BOSSIER CITY, LA 71111-3517
(318) 584-7133
(318) 584-7135
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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