Provider Demographics
NPI:1396204269
Name:TRUE CARE TRANSPORT
Entity Type:Organization
Organization Name:TRUE CARE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAVALLAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-308-1044
Mailing Address - Street 1:3327 PONTCHARTRAIN DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-4851
Mailing Address - Country:US
Mailing Address - Phone:504-308-1044
Mailing Address - Fax:985-590-4649
Practice Address - Street 1:3327 PONTCHARTRAIN DR STE 201
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-4851
Practice Address - Country:US
Practice Address - Phone:504-308-1044
Practice Address - Fax:985-590-4649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)