MEDICARE: ABOVE & BEYOND 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	:	1861029142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE & BEYOND TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3024 WESTFORK DR STE B
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2252
Country	:	US
Telephone Number	:	225-326-3743
Fax Number	:

Provider Business Practice Location Address
First Line	:	3024 WESTFORK DR STE B
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2252
Country	:	US
Telephone Number	:	225-326-3743
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LUCRETIA FRANKLIN
Credential	:
Telephone Number	:	225-326-3743

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	03/25/2020

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