Provider Demographics
NPI:1780051185
Name:LEN TRANSPORTATION LLC
Entity type:Organization
Organization Name:LEN TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:DONELLE
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-610-3090
Mailing Address - Street 1:9144 RUE DE FLUER
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-1509
Mailing Address - Country:US
Mailing Address - Phone:225-369-2861
Mailing Address - Fax:225-369-2853
Practice Address - Street 1:9144 RUE DE FLUER
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-1509
Practice Address - Country:US
Practice Address - Phone:225-369-2861
Practice Address - Fax:225-369-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)