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Organization

LIFE NEMT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLARENCE ADOLPH SMALL (OWNER)
(504) 644-7014
Entity
Organization

Contact information

Practice address
2651 POYDRAS ST APT 2425, NEW ORLEANS, LA 70119-7587
(504) 405-0562
Mailing address
2651 POYDRAS ST APT 2425, NEW ORLEANS, LA 70119-7587
(504) 405-0562

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/17/2023
Last updated
01/17/2023
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