Provider Demographics
NPI:1740658525
Name:GREENLIGHT TRANSPORTATION
Entity type:Organization
Organization Name:GREENLIGHT TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ISABEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:OWNER
Authorized Official - Phone:504-650-7741
Mailing Address - Street 1:7170 PINEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-4623
Mailing Address - Country:US
Mailing Address - Phone:504-248-5530
Mailing Address - Fax:504-248-5540
Practice Address - Street 1:7170 PINEBROOK DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-4623
Practice Address - Country:US
Practice Address - Phone:504-248-5530
Practice Address - Fax:504-248-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital