Organization
S&R NON EMERGENCY MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTIA LATOYIA GRAY (OWNER/MANAGER)
(318) 789-4272
Entity
Organization
Contact information
Practice address
111 PECAN LAKE ESTATE RD, MONROE, LA 71203-9383
(318) 789-4272
Mailing address
111 PECAN LAKE ESTATE RD, MONROE, LA 71203-9383
(318) 789-4272
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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