Provider Demographics
NPI:1700524543
Name:MARIE'S TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MARIE'S TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CREECY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-202-5384
Mailing Address - Street 1:2401 YORKTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2321
Mailing Address - Country:US
Mailing Address - Phone:504-202-5384
Mailing Address - Fax:
Practice Address - Street 1:2401 YORKTOWNE DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2321
Practice Address - Country:US
Practice Address - Phone:504-202-5384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1578223327Medicaid