Provider Demographics
NPI:1225603285
Name:SWILLEY'S TRANSPORTATION
Entity Type:Organization
Organization Name:SWILLEY'S TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANGLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:504-357-1948
Mailing Address - Street 1:721 BELLE POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-6501
Mailing Address - Country:US
Mailing Address - Phone:504-357-1948
Mailing Address - Fax:
Practice Address - Street 1:721 BELLE POINTE BLVD
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-6501
Practice Address - Country:US
Practice Address - Phone:504-357-1948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-23
Last Update Date:2021-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)