Provider Demographics
NPI:1114394194
Name:SERENITY TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:SERENITY TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PORSHA
Authorized Official - Middle Name:MONIC
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-236-8783
Mailing Address - Street 1:1885 SAINT LANDRY HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT LANDRY
Mailing Address - State:LA
Mailing Address - Zip Code:71367-3031
Mailing Address - Country:US
Mailing Address - Phone:318-838-2924
Mailing Address - Fax:318-838-2237
Practice Address - Street 1:1885 SAINT LANDRY HWY
Practice Address - Street 2:
Practice Address - City:SAINT LANDRY
Practice Address - State:LA
Practice Address - Zip Code:71367-3031
Practice Address - Country:US
Practice Address - Phone:318-838-2924
Practice Address - Fax:318-838-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016740343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)