Organization
REDSTICK STATE
Active
Other names
Redstick State
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WAYNE HAYES (MANAGER)
(225) 678-3770
Entity
Organization
Contact information
Practice address
301 MAIN ST STE 2200, BATON ROUGE, LA 70801-0014
(225) 678-3770
Mailing address
301 MAIN ST STE 2200, BATON ROUGE, LA 70801-0014
(225) 678-3770
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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