Organization
SHARE A RIDE MEDICAL TRANSPORTATION L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAEL EAGLIN (OWNER/DRIVER)
(337) 419-4630
Entity
Organization
Contact information
Practice address
2532 JOE ST, LAKE CHARLES, LA 70601-7099
(337) 419-4630
Mailing address
2532 JOE ST, LAKE CHARLES, LA 70601-7099
(337) 419-4630
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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