Provider Demographics
NPI:1851872543
Name:STEWART RELIABLE TRANSPORT LLC
Entity Type:Organization
Organization Name:STEWART RELIABLE TRANSPORT LLC
Other - Org Name:OWNER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EFFRON
Authorized Official - Middle Name:DONELL
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-900-3955
Mailing Address - Street 1:4019 MARIBEL DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70812-4414
Mailing Address - Country:US
Mailing Address - Phone:225-900-3955
Mailing Address - Fax:
Practice Address - Street 1:4019 MARIBEL DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70812-4414
Practice Address - Country:US
Practice Address - Phone:225-900-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA006440870343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)