Organization
FIREWALL ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY WILSON (MANAGER)
(504) 265-3334
Entity
Organization
Contact information
Practice address
820 E LAWSON ST, NEW SARPY, LA 70078
(504) 265-3334
Mailing address
PO BOX 261, NEW SARPY, LA 70078-0261
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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