Organization
MEDILYFT TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNIS ADDISON (OWNER)
(318) 207-9883
Entity
Organization
Contact information
Practice address
2960 POLAND ST, SHREVEPORT, LA 71103-2152
(318) 207-9883
Mailing address
2960 POLAND ST, SHREVEPORT, LA 71103-2152
(318) 207-9883
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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