Provider Demographics
NPI:1477186955
Name:PRECIOUS MILES LLC
Entity Type:Organization
Organization Name:PRECIOUS MILES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-623-7837
Mailing Address - Street 1:1151 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:LUTCHER
Mailing Address - State:LA
Mailing Address - Zip Code:70071-5104
Mailing Address - Country:US
Mailing Address - Phone:619-723-7628
Mailing Address - Fax:
Practice Address - Street 1:1151 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:LUTCHER
Practice Address - State:LA
Practice Address - Zip Code:70071-5104
Practice Address - Country:US
Practice Address - Phone:619-723-7628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)