Basic Information
| Provider Information | |||||||||
| NPI: | 1922504513 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EN ROUTE TRANSPORTATION SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 204 E PIN OAK DR | ||||||||
| Address2: | |||||||||
| City: | SAINT ROSE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700873239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043197402 | ||||||||
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| Practice Location | |||||||||
| Address1: | 204 E PIN OAK DR | ||||||||
| Address2: | |||||||||
| City: | SAINT ROSE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700873239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043197402 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2018 | ||||||||
| LastUpdateDate: | 04/02/2018 | ||||||||
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| AuthorizedOfficialLastName: | MORRIS LANDRY | ||||||||
| AuthorizedOfficialFirstName: | KENYA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5043197402 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 343900000X | LA | Y | Transportation Services | Non-emergency Medical Transport (VAN) |
No ID Information.