Organization
INFINITY PROVIDERS TRANSPORTATION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN C HOLLOWAY (OWNER)
(504) 948-5661
Entity
Organization
Contact information
Practice address
316 N CANAL BLVD, THIBODAUX, LA 70301-2953
(504) 357-8870
Mailing address
PO BOX 8604, MANDEVILLE, LA 70470-8604
(504) 357-8870
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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