Organization
POSITIVE CHANGE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY TYRONE JOHNSON SR. (OWNER)
(318) 779-8527
Entity
Organization
Contact information
Practice address
348 W 79TH ST, SHREVEPORT, LA 71106-4820
(318) 688-8192
(318) 688-8193
Mailing address
6461 BUNCOMBE RD, SHREVEPORT, LA 71129-4305
(318) 688-8192
(318) 688-8193
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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