Provider Demographics
NPI:1588382253
Name:JOHNSONS JOURNEYS LLC
Entity type:Organization
Organization Name:JOHNSONS JOURNEYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATAYER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROKENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-461-9434
Mailing Address - Street 1:136 ABC LN
Mailing Address - Street 2:
Mailing Address - City:KEATCHIE
Mailing Address - State:LA
Mailing Address - Zip Code:71046-5600
Mailing Address - Country:US
Mailing Address - Phone:318-461-9434
Mailing Address - Fax:318-933-6007
Practice Address - Street 1:136 ABC LN
Practice Address - Street 2:
Practice Address - City:KEATCHIE
Practice Address - State:LA
Practice Address - Zip Code:71046-5600
Practice Address - Country:US
Practice Address - Phone:318-461-9434
Practice Address - Fax:318-933-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)