Provider Demographics
NPI:1154130045
Name:TRUE TRANSPORTATION 107 LLC
Entity type:Organization
Organization Name:TRUE TRANSPORTATION 107 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEIKSHA
Authorized Official - Middle Name:TWANA
Authorized Official - Last Name:BRUMFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-415-0754
Mailing Address - Street 1:39469 ALLEN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-9023
Mailing Address - Country:US
Mailing Address - Phone:985-415-0754
Mailing Address - Fax:
Practice Address - Street 1:39469 ALLEN STREET EXT
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-9023
Practice Address - Country:US
Practice Address - Phone:985-415-0754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)