Provider Demographics
NPI:1821512203
Name:LAFRASHA ENTERPRISES INC.
Entity Type:Organization
Organization Name:LAFRASHA ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-709-6454
Mailing Address - Street 1:221 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1724
Mailing Address - Country:US
Mailing Address - Phone:434-709-6454
Mailing Address - Fax:434-835-4793
Practice Address - Street 1:221 ROSS ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1724
Practice Address - Country:US
Practice Address - Phone:434-709-6454
Practice Address - Fax:434-835-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA544343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)