Provider Demographics
NPI:1336509678
Name:TWIN CITY RELIABLE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TWIN CITY RELIABLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:SPENCER
Authorized Official - Last Name:BURRELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:318-512-5808
Mailing Address - Street 1:2107 HONOR ST STE A
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3649
Mailing Address - Country:US
Mailing Address - Phone:318-699-3888
Mailing Address - Fax:318-340-0515
Practice Address - Street 1:2107 HONOR ST STE A
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3649
Practice Address - Country:US
Practice Address - Phone:318-699-3888
Practice Address - Fax:318-340-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LANE0011312343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)