Organization
MTZ RISING SUNS TRANSPORTATION LLC
Active
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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