Healthcare Provider Details

I. General information

NPI: 1386414209
Provider Name (Legal Business Name): THE ANOINTING RIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 03/23/2024
Certification Date: 03/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 LINDEN LEWIS RD
YOUNGSVILLE LA
70592-6449
US

IV. Provider business mailing address

PO BOX 454
MAURICE LA
70555-0454
US

V. Phone/Fax

Practice location:
  • Phone: 337-857-6706
  • 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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name: NAOMI WILLIAMS
Title or Position: OWNER
Credential:
Phone: 337-857-6706