Organization
ETS
Active
Organization
ETS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. ELLLERSON (OPERATIONS MANAGER)
(225) 615-2500
Entity
Organization
Contact information
Practice address
8867 HIGHLAND ROAD #3C, BATON ROUGE, LA 70808
(225) 615-2500
Mailing address
231 CRESTVIEW AVE, BATON ROUGE, LA 70807-2532
(225) 615-2500
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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