Organization
TAILORED TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO CLEVELAND (OWNER/OPERATOR)
(318) 206-7740
Entity
Organization
Contact information
Practice address
13 W ELMWOOD DR APT B, MONROE, LA 71203-2563
(318) 206-7740
Mailing address
13 W ELMWOOD DR APT B, MONROE, LA 71203-2563
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
009434950
LA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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