Healthcare Provider Details

I. General information

NPI: 1477853596
Provider Name (Legal Business Name): PERSONAL CHOICE TRANSPORTATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 10/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33635 BOUDREAUX ST
WHITE CASTLE LA
70788-2729
US

IV. Provider business mailing address

33635 BOUDREAUX ST
WHITE CASTLE LA
70788-2729
US

V. Phone/Fax

Practice location:
  • Phone: 225-716-4021
  • Fax:
Mailing address:
  • Phone: 225-716-4021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTIE OSBORNE
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 225-716-4021