Organization
CANNON TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CANNON (OWNER/CEO)
(318) 751-1232
Entity
Organization
Contact information
Practice address
5612 W CANAL BLVD, SHREVEPORT, LA 71108-3602
(318) 751-1232
Mailing address
512 FOX CV, HAUGHTON, LA 71037-9383
(318) 751-1232
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
05/01/2025
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