Provider Demographics
NPI:1316830672
Name:LILYS OF THE VALLEY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:LILYS OF THE VALLEY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAHARLA
Authorized Official - Middle Name:DAHIR
Authorized Official - Last Name:EID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-941-0062
Mailing Address - Street 1:2601 18TH ST S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6603
Mailing Address - Country:US
Mailing Address - Phone:701-941-0062
Mailing Address - Fax:
Practice Address - Street 1:2601 18TH ST S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6603
Practice Address - Country:US
Practice Address - Phone:701-941-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle