Provider Demographics
NPI:1619865615
Name:NLH ENTERPRISE LLC
Entity type:Organization
Organization Name:NLH ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOTOYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HALLIBURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-922-0520
Mailing Address - Street 1:2730 MILL ST
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2135
Mailing Address - Country:US
Mailing Address - Phone:573-922-0520
Mailing Address - Fax:
Practice Address - Street 1:2730 MILL ST
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2135
Practice Address - Country:US
Practice Address - Phone:573-922-0520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)