MEDICARE: T & R CITYWIDE TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1801498936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & R CITYWIDE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	5924 SAN JUAN DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70811-4127
Country	:	US
Telephone Number	:	222-999-8726
Fax Number	:	225-250-5232

Provider Business Practice Location Address
First Line	:	5924 SAN JUAN DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70811-4127
Country	:	US
Telephone Number	:	225-287-6748
Fax Number	:

Authorized Official
Title or Position	:	C.E.O
Name	:	SONIA L ALLISON
Credential	:
Telephone Number	:	225-287-6748

Provider Enumeration Date	:	11/13/2020
Last Update Date	:	05/14/2024

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