Organization
SOUTHERN BOUND TRANSPORTATION COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARKESHA RACHELL SWAN (OWNER)
(601) 918-4125
Entity
Organization
Contact information
Practice address
180 PROVONCE PARK, BRANDON, MS 39042-5008
(601) 918-4125
(601) 706-4779
Mailing address
180 PROVONCE PARK, BRANDON, MS 39042-5008
(601) 918-4125
(601) 706-4751
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
MS
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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