Organization
GOOD LIFE TRANSPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHIA HARDNETT (PRESIDENT)
(225) 603-8902
Entity
Organization
Contact information
Practice address
6412 BEECHWOOD DR, BATON ROUGE, LA 70805-1615
(225) 603-8902
Mailing address
6412 BEECHWOOD DRIVE, BATON ROUGE, LA 70805
(225) 603-8902
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
00886389
LA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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