Provider Demographics
NPI:1073811824
Name:MANOR HOUSE TRANSPORTATION L.L.C
Entity Type:Organization
Organization Name:MANOR HOUSE TRANSPORTATION L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LENGACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-410-2038
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:ANTWERP
Mailing Address - State:OH
Mailing Address - Zip Code:45813-0155
Mailing Address - Country:US
Mailing Address - Phone:419-258-0258
Mailing Address - Fax:
Practice Address - Street 1:204 ARCHER DRIVE
Practice Address - Street 2:
Practice Address - City:ANTWERP
Practice Address - State:OH
Practice Address - Zip Code:45813
Practice Address - Country:US
Practice Address - Phone:419-258-0258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH63-501-5343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)