Organization
FAITHFUL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHEIKA MONIQUE GILLIAM (OWNER)
(318) 210-5158
Entity
Organization
Contact information
Practice address
9634 LUCIEN WAY, SHREVEPORT, LA 71106-3439
(318) 210-5158
Mailing address
9634 LUCIEN WAY, SHREVEPORT, LA 71106-3439
(318) 210-5158
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
03/02/2023
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