Provider Demographics
NPI:1235872938
Name:LAND MILES TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:LAND MILES TRANSPORTATION, LLC
Other - Org Name:LAND MILES TRANSPORTATION, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-244-5944
Mailing Address - Street 1:612 BOURDETTE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-5342
Mailing Address - Country:US
Mailing Address - Phone:337-244-5944
Mailing Address - Fax:
Practice Address - Street 1:612 BOURDETTE DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-5342
Practice Address - Country:US
Practice Address - Phone:337-244-5944
Practice Address - Fax:337-267-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)