Organization
GENESIS MORTUARY TRANSPORT LLC
Active
Organization
GENESIS MORTUARY TRANSPORT LLC
Active
Parent organization
GENESIS MORTUARY TRANSPORT
Other names
Genesis Transport
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS MORTUARY TRANSPORT
Authorized official
TIMOTHY K YATES (OWNER/MANAGER)
(903) 243-3883
Entity
Organization
Contact information
Practice address
1285 W HAWTHORNE RD, LEESVILLE, LA 71446-6052
(903) 243-3883
Mailing address
1285 W HAWTHORNE RD, LEESVILLE, LA 71446-6052
(903) 243-3883
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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