Healthcare Provider Details

I. General information

NPI: 1982184388
Provider Name (Legal Business Name): PEOPLE 2 PLACES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6422 ABBINGTON DR APT 66
NEW ORLEANS LA
70126-1677
US

IV. Provider business mailing address

6422 ABBINGTON DR APT 66
NEW ORLEANS LA
70126-1677
US

V. Phone/Fax

Practice location:
  • Phone: 678-598-0378
  • Fax:
Mailing address:
  • Phone: 678-598-0378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number004728255
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateLA

VIII. Authorized Official

Name: MRS. PAULA TRENET CLOUD
Title or Position: MANAGER
Credential: DO
Phone: 678-598-0378