Organization
MTZ RISING SUNS TRANSPORTATION LLC
Active
Other names
MTZ RISING SUNS TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVERICK RAYDRAKEYON MASON (OWNER)
(318) 717-4399
Entity
Organization
Contact information
Practice address
403 COLLEGE DRIVE, SIMMESPORT, LA 71369
(318) 359-3497
Mailing address
PO BOX 69, SIMMESPORT, LA 71369-0069
(318) 717-4399
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3187174399
—
LA
Enumeration date
09/14/2021
Last updated
04/15/2024
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