Healthcare Provider Details

I. General information

NPI: 1831381565
Provider Name (Legal Business Name): GUIDRY'S HEALTH TRANSPORTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 OAK PARK BLVD
LAKE CHARLES LA
70601-7864
US

IV. Provider business mailing address

2120 OAK PARK BLVD
LAKE CHARLES LA
70601-7864
US

V. Phone/Fax

Practice location:
  • Phone: 337-532-2275
  • Fax: 337-474-2875
Mailing address:
  • Phone: 337-532-2275
  • Fax: 337-474-2875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY K. GUIDRY
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 337-532-2275