Organization
AUTUMN LAKE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL RILEY (CO-OWNER)
(225) 755-9930
Entity
Organization
Contact information
Practice address
11758 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816-2365
(225) 755-9930
Mailing address
11758 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816-2365
(225) 755-9930
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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