Organization
SWLA MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN GUILLORY (OWNER)
(337) 214-9954
Entity
Organization
Contact information
Practice address
630 W PRIEN LAKE RD, B-181, LAKE CHARLES, LA 70601-0700
(337) 214-9954
Mailing address
630 W PRIEN LAKE RD, B-181, LAKE CHARLES, LA 70601-0700
(337) 214-9954
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
010768637
LA
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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