Provider Demographics
NPI:1356167654
Name:LANDRYS LIMO SERVICE
Entity type:Organization
Organization Name:LANDRYS LIMO SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANDRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:310-505-9383
Mailing Address - Street 1:11361 HUBBARD ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-5647
Mailing Address - Country:US
Mailing Address - Phone:310-505-9383
Mailing Address - Fax:310-217-8825
Practice Address - Street 1:14068 GRAHAM ST STE 206
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-8830
Practice Address - Country:US
Practice Address - Phone:310-505-9383
Practice Address - Fax:310-217-8825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes342000000XTransportation ServicesTransportation Network Company
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & SportsGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization