Provider Demographics
NPI:1396485538
Name:LANDRY'S QUALITY TRANSPORTATION
Entity type:Organization
Organization Name:LANDRY'S QUALITY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-319-7402
Mailing Address - Street 1:204 E PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:SAINT ROSE
Mailing Address - State:LA
Mailing Address - Zip Code:70087-3239
Mailing Address - Country:US
Mailing Address - Phone:504-813-6518
Mailing Address - Fax:504-319-7402
Practice Address - Street 1:204 E PIN OAK DR
Practice Address - Street 2:
Practice Address - City:SAINT ROSE
Practice Address - State:LA
Practice Address - Zip Code:70087-3239
Practice Address - Country:US
Practice Address - Phone:504-813-6518
Practice Address - Fax:504-319-7402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)