Provider Demographics
NPI:1669049425
Name:FAITH&LOVE TRANSPORTATION LLC
Entity type:Organization
Organization Name:FAITH&LOVE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-782-5527
Mailing Address - Street 1:202 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:KILLONA
Mailing Address - State:LA
Mailing Address - Zip Code:70057-3044
Mailing Address - Country:US
Mailing Address - Phone:985-308-1898
Mailing Address - Fax:
Practice Address - Street 1:136 SOUTH KINLER
Practice Address - Street 2:
Practice Address - City:BOUTTE
Practice Address - State:LA
Practice Address - Zip Code:70039
Practice Address - Country:US
Practice Address - Phone:504-782-5527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA343900000XMedicaid