Organization
K RENEE NON EMERGENCY MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RENEE WALLACE (PRESIDENT/CEO)
(504) 559-6192
Entity
Organization
Contact information
Practice address
426 N MAGNOLIA ST, GRAMERCY, LA 70052
(504) 559-6192
Mailing address
PO BOX 463, LUTCHER, LA 70071-0463
(504) 559-6192
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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