Provider Demographics
NPI:1881023703
Name:AVOYELES NON- EMERGENCY TRANSPORTATION COMPANY
Entity type:Organization
Organization Name:AVOYELES NON- EMERGENCY TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LA TONJA
Authorized Official - Middle Name:SHERISE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-346-4091
Mailing Address - Street 1:100 EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:BUNKIE
Mailing Address - State:LA
Mailing Address - Zip Code:71322-1304
Mailing Address - Country:US
Mailing Address - Phone:318-346-4091
Mailing Address - Fax:318-346-7513
Practice Address - Street 1:100 EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:BUNKIE
Practice Address - State:LA
Practice Address - Zip Code:71322-1304
Practice Address - Country:US
Practice Address - Phone:318-346-4091
Practice Address - Fax:318-346-7513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0033342076343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)