Provider Demographics
NPI:1144695610
Name:BAILEY'S TRANSPORTATION SVC LLC
Entity type:Organization
Organization Name:BAILEY'S TRANSPORTATION SVC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-614-1962
Mailing Address - Street 1:15132 HWY 421
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:70784
Mailing Address - Country:US
Mailing Address - Phone:225-614-1962
Mailing Address - Fax:
Practice Address - Street 1:15132 HWY 421
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:LA
Practice Address - Zip Code:70784
Practice Address - Country:US
Practice Address - Phone:225-614-1962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1816491-001-200343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)