Organization
LADYLOCK SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA ROBERTSON (OWNER)
(225) 301-4490
Entity
Organization
Contact information
Practice address
1824 JOB AVE, ZACHARY, LA 70791-5908
(225) 301-4490
Mailing address
4051 GROOM RD STE D, BAKER, LA 70714-3566
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1405
LA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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