Organization
A W MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE CHARLESTON (OWNER)
(337) 693-9445
Entity
Organization
Contact information
Practice address
136 GREENWOOD DR, JENNINGS, LA 70546-4302
(337) 693-9445
Mailing address
136 GREENWOOD DR, JENNINGS, LA 70546-4302
(337) 693-9445
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43333677K
SECRETARY OF STATE
LA
Enumeration date
03/13/2019
Last updated
03/13/2019
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