MEDICARE: TO DO LIST ERRAND SERVICE, 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)	2302116	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669881371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TO DO LIST ERRAND SERVICE, LLC

Provider Business Mailing Address
First Line	:	3636 S SHERWOOD FOREST BLVD STE 690
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-5206
Country	:	US
Telephone Number	:	225-205-1824
Fax Number	:

Provider Business Practice Location Address
First Line	:	3636 S SHERWOOD FOREST BLVD STE 690
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-5206
Country	:	US
Telephone Number	:	225-205-1824
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NEGATHA WILSON-ARDOIN
Credential	:
Telephone Number	:	225-205-1824

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	08/06/2014

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Directions to “TO DO LIST ERRAND SERVICE, LLC ” Practice Location

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