Healthcare Provider Details

I. General information

NPI: 1487897708
Provider Name (Legal Business Name): J & G TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6328 FARREL DR
SLIDELL LA
70460-3927
US

IV. Provider business mailing address

6328 FARREL DR
SLIDELL LA
70460-3927
US

V. Phone/Fax

Practice location:
  • Phone: 985-726-5097
  • Fax: 985-726-5097
Mailing address:
  • Phone: 985-726-5097
  • Fax: 985-726-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number4066634
License Number StateLA

VIII. Authorized Official

Name: MRS. JANE ELIZABETH BARABINO
Title or Position: PRESIDENT
Credential:
Phone: 985-726-5097