Provider Demographics
NPI:1255898631
Name:LONG'S TRANSPORTATION SERVICE, LLC
Entity type:Organization
Organization Name:LONG'S TRANSPORTATION SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-230-9315
Mailing Address - Street 1:21224 BEAU CHATEAU BLVD
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-5662
Mailing Address - Country:US
Mailing Address - Phone:504-230-9315
Mailing Address - Fax:985-370-2309
Practice Address - Street 1:21224 BEAU CHATEAU BLVD
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-5662
Practice Address - Country:US
Practice Address - Phone:504-230-9315
Practice Address - Fax:504-251-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)