Healthcare Provider Details
I. General information
NPI: 1932822491
Provider Name (Legal Business Name): D&T TRANSPORTATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 N PIERCE ST STE B
LAFAYETTE LA
70501-3575
US
IV. Provider business mailing address
701 N PIERCE ST STE B
LAFAYETTE LA
70501-3575
US
V. Phone/Fax
- Phone: 337-205-2075
- Fax: 337-534-4022
- Phone: 337-205-2075
- Fax: 337-534-4022
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
DWAZENDRA
SMITH
Title or Position: GENERAL PARTNER
Credential:
Phone: 318-347-4826