Provider Demographics
NPI:1427205624
Name:BLM LAKELAND INC
Entity Type:Organization
Organization Name:BLM LAKELAND INC
Other - Org Name:H & H TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-937-5360
Mailing Address - Street 1:1119 HAMMOCK SHADE DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33809-4652
Mailing Address - Country:US
Mailing Address - Phone:863-937-5360
Mailing Address - Fax:863-937-5360
Practice Address - Street 1:1119 HAMMOCK SHADE DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-4652
Practice Address - Country:US
Practice Address - Phone:863-937-5360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1620000107343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)