Provider Demographics
NPI:1306512660
Name:FREELY TRAVEL & TRANSPORTATION LLC
Entity type:Organization
Organization Name:FREELY TRAVEL & TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:JOANETTE
Authorized Official - Last Name:POLK - FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-864-6729
Mailing Address - Street 1:PO BOX 56921
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70156-6921
Mailing Address - Country:US
Mailing Address - Phone:504-864-6729
Mailing Address - Fax:
Practice Address - Street 1:2600 HOUMA BLVD APT 116
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1334
Practice Address - Country:US
Practice Address - Phone:504-864-6729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)