Provider Demographics
NPI:1407536451
Name:BALANCED TRANSPORTATION
Entity Type:Organization
Organization Name:BALANCED TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEWANYA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEWIS-PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-473-3432
Mailing Address - Street 1:1464 FLAMINGO RD
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7700
Mailing Address - Country:US
Mailing Address - Phone:504-473-3432
Mailing Address - Fax:
Practice Address - Street 1:1464 FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7700
Practice Address - Country:US
Practice Address - Phone:504-473-3432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty