Provider Demographics
NPI:1346496577
Name:LEFLEUR TRANSPORTATION OF TUPELO
Entity Type:Organization
Organization Name:LEFLEUR TRANSPORTATION OF TUPELO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-853-1823
Mailing Address - Street 1:219 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2703
Mailing Address - Country:US
Mailing Address - Phone:601-853-1823
Mailing Address - Fax:601-853-8758
Practice Address - Street 1:219 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2703
Practice Address - Country:US
Practice Address - Phone:601-853-1823
Practice Address - Fax:601-853-8758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)