17:7 Infinity LLC
Non-emergency Medical Transport (VAN) in Shreveport, LA. Organization (NPI-2).
NPI number1649947508
StatusActive
Last updated in NPPESAug 26, 2021
Details
- NPI
- 1649947508
- Entity type
- Organization (NPI-2)
- Legal business name
- 17:7 Infinity LLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2021
- Certification date
- Aug 26, 2021
- Last updated
- Aug 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
2800 Youree Dr Ste 473Shreveport, LA 71104-3666
Phone 318-401-4058
Mailing address
Po Box 19245Shreveport, LA 71149-0245
Phone 318-401-4058
Authorized official
Ebony Lukinda Hullaby
Owner
3184014058
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