Provider Demographics
NPI:1629754544
Name:HEART OF LOUISIANA TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:HEART OF LOUISIANA TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:OTISSICIA
Authorized Official - Middle Name:LATEAC
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-272-5015
Mailing Address - Street 1:112 ST ANDREWS LANE
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006
Mailing Address - Country:US
Mailing Address - Phone:318-272-5015
Mailing Address - Fax:
Practice Address - Street 1:112 ST ANDREWS LANE
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:LA
Practice Address - Zip Code:71006
Practice Address - Country:US
Practice Address - Phone:318-272-5015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)