Organization
BROADLANDS FAMILY TRANSPORTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON DANTIN (OWNER)
(985) 632-2569
Entity
Organization
Contact information
Practice address
14791 E MAIN ST, CUT OFF, LA 70345-2658
(985) 632-2569
(985) 632-2568
Mailing address
14791 E MAIN ST, CUT OFF, LA 70345-2658
(985) 632-2569
(985) 632-2568
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
005028903
LA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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