Organization
FAITH CARE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENONA ESTELLE WALTER MHP (CEO)
(318) 820-7757
Entity
Organization
Contact information
Practice address
1208 GILBERT DR, SHREVEPORT, LA 71101-4146
(318) 820-7757
Mailing address
1208 GILBERT DR, SHREVEPORT, LA 71101-4146
(318) 820-7757
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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