Provider Demographics
NPI:1255955829
Name:CODE 3 ENTERTAINMENT SERVICES, LLC
Entity type:Organization
Organization Name:CODE 3 ENTERTAINMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LESAVOY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:925-878-1763
Mailing Address - Street 1:3392 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2837
Mailing Address - Country:US
Mailing Address - Phone:925-878-1763
Mailing Address - Fax:
Practice Address - Street 1:3392 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2837
Practice Address - Country:US
Practice Address - Phone:925-878-1763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)