Provider Demographics
NPI:1609312628
Name:360 TRUCKING LLC
Entity Type:Organization
Organization Name:360 TRUCKING LLC
Other - Org Name:360 TRUCKING NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANADA
Authorized Official - Middle Name:SANTIAGO
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-915-5051
Mailing Address - Street 1:2913 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VIOLET
Mailing Address - State:LA
Mailing Address - Zip Code:70092-3713
Mailing Address - Country:US
Mailing Address - Phone:504-915-5051
Mailing Address - Fax:504-592-7866
Practice Address - Street 1:2913 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:VIOLET
Practice Address - State:LA
Practice Address - Zip Code:70092-3713
Practice Address - Country:US
Practice Address - Phone:504-915-5051
Practice Address - Fax:504-592-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)