Organization
BENTON MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE BENTON (OWNER/ PRESIDENT)
(225) 678-4365
Entity
Organization
Contact information
Practice address
6521 CHIPPENDALE DR, BATON ROUGE, LA 70817-3530
(225) 678-4365
(225) 421-1673
Mailing address
6521 CHIPPENDALE DR, BATON ROUGE, LA 70817-3530
(225) 678-4365
(225) 421-1673
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
006733391
LA
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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