Provider Demographics
NPI:1467088237
Name:PEACEFUL TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:PEACEFUL TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:318-379-4751
Mailing Address - Street 1:PO BOX 29372
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71149-9372
Mailing Address - Country:US
Mailing Address - Phone:318-379-4751
Mailing Address - Fax:318-300-3772
Practice Address - Street 1:118 TOULINE ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-4639
Practice Address - Country:US
Practice Address - Phone:318-379-4751
Practice Address - Fax:310-300-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)