Healthcare Provider Details

I. General information

NPI: 1457633992
Provider Name (Legal Business Name): BAILEYS EXPRESS TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2011
Last Update Date: 09/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 NORMANDIE LN
MINDEN LA
71055-7437
US

IV. Provider business mailing address

250 NORMANDIE LN
MINDEN LA
71055-7437
US

V. Phone/Fax

Practice location:
  • Phone: 318-268-8077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number007067216
License Number StateLA

VIII. Authorized Official

Name: KENDRICK BAILEY
Title or Position: MANAGER
Credential:
Phone: 318-268-8077