Provider Demographics
NPI:1407350333
Name:LIBRA TRANSPORTATION
Entity Type:Organization
Organization Name:LIBRA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAJIDAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-261-5514
Mailing Address - Street 1:5056 OAK BAYOU AVE
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4985
Mailing Address - Country:US
Mailing Address - Phone:504-230-2617
Mailing Address - Fax:
Practice Address - Street 1:5056 OAK BAYOU AVE
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4985
Practice Address - Country:US
Practice Address - Phone:504-230-2617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA008845051343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)