Provider Demographics
NPI:1255475406
Name:TERRA LANE LLC
Entity Type:Organization
Organization Name:TERRA LANE LLC
Other - Org Name:ALL-WAYS VALET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GM
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:EIRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-255-9297
Mailing Address - Street 1:17100 E OHIO DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-3238
Mailing Address - Country:US
Mailing Address - Phone:303-255-9297
Mailing Address - Fax:303-282-0391
Practice Address - Street 1:17100 E OHIO DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-3238
Practice Address - Country:US
Practice Address - Phone:303-255-9297
Practice Address - Fax:303-282-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COB-9883343900000X, 347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Not Answered347B00000XTransportation ServicesBus