Provider Demographics
NPI:1992394340
Name:LIVING MY DREAM TRANSPORTATION LLC
Entity Type:Organization
Organization Name:LIVING MY DREAM TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:WASHIGTON
Authorized Official - Last Name:CHENEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-270-6717
Mailing Address - Street 1:128 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-5664
Mailing Address - Country:US
Mailing Address - Phone:504-270-6717
Mailing Address - Fax:
Practice Address - Street 1:128 AZALEA DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-5664
Practice Address - Country:US
Practice Address - Phone:504-270-6717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty