Organization
MOTHER MARYS NEMT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYNASTY SHADA MOORE (OWNER/MANAGER)
(318) 990-1315
Entity
Organization
Contact information
Practice address
2940 LE OAKS DR APT 1109, BOSSIER CITY, LA 71111-7835
(318) 990-1315
Mailing address
2940 LE OAKS DR APT 1109, BOSSIER CITY, LA 71111-7835
(318) 990-1315
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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