RASBY MASON II
Individual Provider (NPI-1)
Active
Non-emergency Medical Transport (VAN)
Provider Information
- NPI Number
1649001868- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4727 BROADWAY AVE, SHREVEPORT, LA, 711096908
- Phone
- (318) 349-9394
- Fax
- (318) 626-7179
Specialties & Taxonomies
Meals
Local Education Agency (LEA)
Case Management
PACE Provider Organization
Home Health
Community/Behavioral Health
Early Intervention Provider Agency
Non-emergency Medical Transport (VAN)
Primary
In Home Supportive Care
Clinic/Center, Adult Day Care
Clinic/Center, Adolescent and Children Mental Health
Clinic/Center, VA