Genesis Mortuary Transport LLC

NPI #1497584023 in Leesville, Louisiana

Provider Information

NPI Number
1497584023
Entity Type
Organization
Organization Name
Genesis Mortuary Transport LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GENESIS MORTUARY TRANSPORT
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jul 31, 2024
Last Updated
Jul 31, 2024

Practice Location

Address
1285 W HAWTHORNE RD
ZIP Code
71446-6052
Phone
(903) 243-3883

Authorized Official

Name
TIMOTHY K YATES
Title
OWNER/MANAGER
Phone
(903) 243-3883

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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