MEDICARE: LOUISIANA ON TIME TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1477055309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISIANA ON TIME TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	8153 QUAD SQUARE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-1244
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8153 QUAD SQUARE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-1244
Country	:	US
Telephone Number	:	225-954-7771
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ONEIL CURTIS
Credential	:
Telephone Number	:	225-954-7771

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	03/07/2018

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