Provider Demographics
NPI:1134583230
Name:LEGACY LIMOUSINE LLC
Entity type:Organization
Organization Name:LEGACY LIMOUSINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-513-9747
Mailing Address - Street 1:620 SEWICKLEY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8917
Mailing Address - Country:US
Mailing Address - Phone:412-513-9747
Mailing Address - Fax:
Practice Address - Street 1:620 SEWICKLEY HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8917
Practice Address - Country:US
Practice Address - Phone:412-513-9747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAA-6416039344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi