Provider Demographics
NPI:1396202818
Name:INDIA&IYANA LLC
Entity Type:Organization
Organization Name:INDIA&IYANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-378-6518
Mailing Address - Street 1:19401 CHRISTANNA HWY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23868-2612
Mailing Address - Country:US
Mailing Address - Phone:434-378-6518
Mailing Address - Fax:
Practice Address - Street 1:19401 CHRISTANNA HWY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868-2612
Practice Address - Country:US
Practice Address - Phone:434-378-6518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)