Provider Demographics
NPI:1669881371
Name:TO DO LIST ERRAND SERVICE, LLC
Entity type:Organization
Organization Name:TO DO LIST ERRAND SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEGATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON-ARDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-205-1824
Mailing Address - Street 1:3636 S SHERWOOD FOREST BLVD STE 690
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-5206
Mailing Address - Country:US
Mailing Address - Phone:225-205-1824
Mailing Address - Fax:
Practice Address - Street 1:3636 S SHERWOOD FOREST BLVD STE 690
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-5206
Practice Address - Country:US
Practice Address - Phone:225-205-1824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2302116343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2302116Medicaid