| NPI | 1770041287 |
|---|---|
| Former Legal Business Name | REDSTICK STATE |
| Entity Type | Organization |
| Authorized Contact | KEVIN WAYNE HAYES Manager 225-678-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |