Provider Demographics
NPI:1013732015
Name:GREATER BLESSINGS TRANSPORTATION LLC
Entity type:Organization
Organization Name:GREATER BLESSINGS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONSANDRA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-317-9051
Mailing Address - Street 1:707 SEYMOUR PULLAM LN
Mailing Address - Street 2:
Mailing Address - City:DEQUINCY
Mailing Address - State:LA
Mailing Address - Zip Code:70633-4107
Mailing Address - Country:US
Mailing Address - Phone:337-317-9051
Mailing Address - Fax:
Practice Address - Street 1:707 SEYMOUR PULLAM LN
Practice Address - Street 2:
Practice Address - City:DEQUINCY
Practice Address - State:LA
Practice Address - Zip Code:70633-4107
Practice Address - Country:US
Practice Address - Phone:337-317-9051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)