Provider Demographics
NPI:1003376526
Name:EVANGELINE'S ANGELS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:EVANGELINE'S ANGELS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:TRICHE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:225-610-2038
Mailing Address - Street 1:2936 KEITH WAY DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-1967
Mailing Address - Country:US
Mailing Address - Phone:225-610-2038
Mailing Address - Fax:
Practice Address - Street 1:2936 KEITH WAY DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-1967
Practice Address - Country:US
Practice Address - Phone:225-610-2038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)