Provider Demographics
NPI:1467970962
Name:WHITE-MORRIS TRANSPORT LLC
Entity Type:Organization
Organization Name:WHITE-MORRIS TRANSPORT LLC
Other - Org Name:WM TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELECIA
Authorized Official - Middle Name:SHINTA
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-734-0018
Mailing Address - Street 1:8829 WESTBROOK PL
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71108-6023
Mailing Address - Country:US
Mailing Address - Phone:318-272-6633
Mailing Address - Fax:
Practice Address - Street 1:8829 WESTBROOK PL
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-6023
Practice Address - Country:US
Practice Address - Phone:318-272-6633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA42788542K343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA00298896OtherLICENSE