Organization
BERRY POPULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY CRYSTAL FISHER (CEO)
(504) 357-3177
Entity
Organization
Contact information
Practice address
538 QUEEN ANNE DR, SLIDELL, LA 70460
(504) 357-3177
(985) 214-1015
Mailing address
538 QUEEN ANNE DR, SLIDELL, LA 70460-8440
(504) 357-3177
(985) 214-1015
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
008906349
LA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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