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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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