Organization
TWO EAGLES N SPEAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEONDRA LASHA COLEMAN (TRANSPORTATION DRIVER)
(985) 605-4595
Entity
Organization
Contact information
Practice address
300 BUCKEYE LN, COVINGTON, LA 70433-1280
(985) 606-4595
Mailing address
300 BUCKEYE LN, COVINGTON, LA 70433-1280
(985) 606-4595
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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