Healthcare Provider Details

I. General information

NPI: 1346088192
Provider Name (Legal Business Name): SHARLA B TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3524 REDLANDS DR
BATON ROUGE LA
70814-5243
US

IV. Provider business mailing address

3524 REDLANDS DR
BATON ROUGE LA
70814-5243
US

V. Phone/Fax

Practice location:
  • Phone: 225-326-8523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: SHARLANETHIA TALBERT-BROWN
Title or Position: OWNER
Credential:
Phone: 225-326-8523