Organization
MAGNOLIA TRANSPORTATION SERVICES INC.
Active
Other names
NO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEWARRENT L. BRANTLEY (CEO/ PRESIDENT)
(318) 678-0709
Entity
Organization
Contact information
Practice address
2005 CRESWELL AVE, SHREVEPORT, LA 71104-2201
(318) 678-0709
Mailing address
2005 CRESWELL AVE, SHREVEPORT, LA 71104-2201
(318) 678-0709
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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