Provider Demographics
NPI:1962132993
Name:LOYAL TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:LOYAL TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-671-7458
Mailing Address - Street 1:PO BOX 3169
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70059-3169
Mailing Address - Country:US
Mailing Address - Phone:504-671-7458
Mailing Address - Fax:504-218-7221
Practice Address - Street 1:1013 MANHATTAN BLVD APT 10
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-4645
Practice Address - Country:US
Practice Address - Phone:504-671-7458
Practice Address - Fax:504-671-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)