Organization
BLUE STREET TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENISE MILLS (OWNER)
(318) 751-8110
Entity
Organization
Contact information
Practice address
4937 DANIEL PL, SHREVEPORT, LA 71109-6845
(318) 751-8110
(318) 670-7475
Mailing address
4937 DANIEL PL, SHREVEPORT, LA 71109-6845
(318) 751-8110
(318) 670-7475
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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