On The Way L.L.C.
Private Vehicle in Shreveport, LA. Organization (NPI-2).
NPI number1144838475
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1144838475
- Entity type
- Organization (NPI-2)
- Legal business name
- On The Way L.L.C.
- Organization subpart
- No
- Enumeration date
- Jul 22, 2020
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
Practice location
9522 Leaside WayShreveport, LA 71118-4340
Phone 318-780-5490
Mailing address
9522 Leaside WayShreveport, LA 71118-4340
Phone 318-780-5490
Authorized official
Crystal Tasby
Owner
3187805490
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