Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI # | 1235597311 |
||||
| LBN Legal business name | BOSSIER COUNCIL ON AGING | ||||
| Authorized official | TAMARA CRANE - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/04/2016 | ||||
| Last updated | 06/14/2024 - More than a year ago | ||||
| Identifiers |
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