Provider Demographics
NPI:1093317091
Name:RESILIENT TRANSPORTATION L3C
Entity Type:Organization
Organization Name:RESILIENT TRANSPORTATION L3C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KARTRINA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-276-0759
Mailing Address - Street 1:848 ASHEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2106
Mailing Address - Country:US
Mailing Address - Phone:985-276-0759
Mailing Address - Fax:
Practice Address - Street 1:848 ASHEVILLE DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2106
Practice Address - Country:US
Practice Address - Phone:985-276-0759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1568070951Medicaid
LA006356219OtherLICENSE