Provider Demographics
NPI:1457729527
Name:A-1 DEPENDABLE TAXI AND SERVICES
Entity Type:Organization
Organization Name:A-1 DEPENDABLE TAXI AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-430-0744
Mailing Address - Street 1:619 V E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-4543
Mailing Address - Country:US
Mailing Address - Phone:337-430-0744
Mailing Address - Fax:337-430-4662
Practice Address - Street 1:619 V E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-4543
Practice Address - Country:US
Practice Address - Phone:337-430-0744
Practice Address - Fax:337-430-4662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA006149283343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)