Healthcare Provider Details

I. General information

NPI: 1275170607
Provider Name (Legal Business Name): RIGHT TURN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 HEARNE AVE
SHREVEPORT LA
71103-2022
US

IV. Provider business mailing address

404 HEARNE AVE
SHREVEPORT LA
71103-2022
US

V. Phone/Fax

Practice location:
  • Phone: 318-207-3525
  • Fax: 318-675-0120
Mailing address:
  • Phone: 318-207-3525
  • Fax: 318-675-0120

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: MR. ERIC VINCESON CLARK SR. SR.
Title or Position: OWNER
Credential:
Phone: 318-207-3525