| NPI | 1003303538 |
|---|---|
| Former Legal Business Name | LYSA TRANSPORTATION SERVICE LLC/CED JOHNSON |
| Entity Type | Organization |
| Authorized Contact | CEDRIQUZE JOHNSON Owner 318-572-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |