Organization
JUANITAS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIS JACKSON (MANAGER/MEMBER)
(504) 380-2792
Entity
Organization
Contact information
Practice address
3406 E LOUISIANA STATE DR, KENNER, LA 70065-2524
(504) 380-2792
Mailing address
3406 E LOUISIANA STATE DR, KENNER, LA 70065-2524
(504) 380-2792
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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