Provider Demographics
NPI:1639535230
Name:SWIFTY TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:SWIFTY TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-313-7367
Mailing Address - Street 1:PO BOX 1918
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70707-1918
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10600 LAKES BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-6463
Practice Address - Country:US
Practice Address - Phone:225-313-7367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)