Provider Demographics
NPI:1053595330
Name:NOLA RELIEF TRANSPORTATION
Entity type:Organization
Organization Name:NOLA RELIEF TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:MCCOLLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-342-2417
Mailing Address - Street 1:8601 GERVAIS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1033
Mailing Address - Country:US
Mailing Address - Phone:504-342-2417
Mailing Address - Fax:504-342-2417
Practice Address - Street 1:8601 GERVAIS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1033
Practice Address - Country:US
Practice Address - Phone:504-342-2417
Practice Address - Fax:504-342-2417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-22
Last Update Date:2007-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)