Provider Demographics
NPI:1639066145
Name:BLESSED PATHS TRANSPORTATION
Entity type:Organization
Organization Name:BLESSED PATHS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACINTA
Authorized Official - Middle Name:AMANDA MARIE
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-261-1155
Mailing Address - Street 1:520 WALL BLVD APT 226
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7743
Mailing Address - Country:US
Mailing Address - Phone:504-261-1155
Mailing Address - Fax:
Practice Address - Street 1:520 WALL BLVD APT 226
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7743
Practice Address - Country:US
Practice Address - Phone:504-261-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle