RASBY MASON

SHREVEPORT, LA
NPI1649001868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies174200000X Meals
251300000X Local Education Agency (LEA)
251B00000X Case Management
251T00000X PACE Provider Organization
251E00000X Home Health
251S00000X 
252Y00000X Early Intervention Provider Agency
253Z00000X In Home Supportive Care
261QA0600X Clinic/Center, Adult Day Care
261QM0855X Clinic/Center, Adolescent and Children Mental Health
261QV0200X Clinic/Center, VA
Enumeration Date2024-08-09
Last Update Date2024-08-09
Business Address
RASBY MASON
4727 BROADWAY AVE
SHREVEPORT, LA 71109-6908
Phone number: 318-349-9394
Mailing Address
RASBY MASON
4727 BROADWAY AVE
SHREVEPORT, LA 71109-6908
Phone number: 318-349-9394