Organization
GOOD LIFE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LA'DREKIA LATAE SIMS (OWNER)
(225) 202-5202
Entity
Organization
Contact information
Practice address
12327 MAPLE ST, PORT ALLEN, LA 70767-5517
(225) 202-5202
Mailing address
12327 MAPLE ST, PORT ALLEN, LA 70767-5517
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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