Organization
MARY'S TRANSPORT SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE KNIGHT (OWNER)
(225) 323-3475
Entity
Organization
Contact information
Practice address
12447 FAWN WOOD DRIVE, WALKER, LA 70785-5754
(225) 323-3475
(225) 272-3877
Mailing address
PO BOX 1291, WALKER, LA 70785-1291
(225) 323-3475
(225) 271-3877
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2161636
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161636
—
LA
Enumeration date
09/29/2011
Last updated
09/29/2011
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