Provider Demographics
NPI:1902363583
Name:GEAUX 2 TRANSIT
Entity Type:Organization
Organization Name:GEAUX 2 TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KISHA
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-788-3822
Mailing Address - Street 1:15446 RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-1575
Mailing Address - Country:US
Mailing Address - Phone:225-788-3822
Mailing Address - Fax:225-800-1070
Practice Address - Street 1:15446 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-1575
Practice Address - Country:US
Practice Address - Phone:225-788-3822
Practice Address - Fax:225-800-1070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)