Healthcare Provider Details

I. General information

NPI: 1194211987
Provider Name (Legal Business Name): MSCEO TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 07/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4625 VIRGILIAN ST
NEW ORLEANS LA
70126-3942
US

IV. Provider business mailing address

4625 VIRGILIAN ST
NEW ORLEANS LA
70126-3942
US

V. Phone/Fax

Practice location:
  • Phone: 504-473-5314
  • 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

VIII. Authorized Official

Name: DANIELLE COBB
Title or Position: OWNER
Credential:
Phone: 504-473-5314