Organization
LA MEDRIDE
Active
Other names
Louisiana Medride
Organization subpart
No
Provider details
NPI number
Authorized official
VERNICE WRIGHT (OWNER)
(702) 428-7338
Entity
Organization
Contact information
Practice address
701 N CHESTNUT ST, TALLULAH, LA 71282-3309
(702) 428-7338
Mailing address
701 N CHESTNUT ST, TALLULAH, LA 71282-3309
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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