Provider Demographics
NPI:1508368572
Name:CEE PEE DELIVERY, LLC
Entity Type:Organization
Organization Name:CEE PEE DELIVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LASHAUN
Authorized Official - Last Name:PRESTWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-420-0741
Mailing Address - Street 1:22155 WILDWOOD PARK RD APT 1327
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5231
Mailing Address - Country:US
Mailing Address - Phone:817-420-0741
Mailing Address - Fax:
Practice Address - Street 1:22155 WILDWOOD PARK RD APT 1327
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5231
Practice Address - Country:US
Practice Address - Phone:817-420-0741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24195047172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty