Organization
AA ACADEMY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADOLPHUS AZUBIKE OBIOHA (OWNER)
(225) 357-0707
Entity
Organization
Contact information
Practice address
4317 AIRLINE HWY, BATON ROUGE, LA 70805-1502
(225) 357-0101
(225) 357-0145
Mailing address
4317 AIRLINE HWY, BATON ROUGE, LA 70805-1502
(225) 357-0101
(225) 357-0145
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1177415
—
LA
Enumeration date
09/09/2015
Last updated
09/09/2015
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