A Lift To Wellness Transportation LLC
Private Vehicle in Shreveport, LA. Organization (NPI-2).
NPI number1982212486
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1982212486
- Entity type
- Organization (NPI-2)
- Legal business name
- A Lift To Wellness Transportation LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2020
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
Practice location
9208 Kingston RdShreveport, LA 71118-3517
Phone 318-453-7484
Mailing address
9208 Kingston RdShreveport, LA 71118-3517
Phone 318-453-7484
Authorized official
Jacqueline Carr
Owner
3184537484
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