Provider Demographics
NPI:1730910688
Name:SENIOR LUX TRANSPORTATION LLC
Entity type:Organization
Organization Name:SENIOR LUX TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEJENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-682-5733
Mailing Address - Street 1:401 CENTURY PKWY # 208
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8043
Mailing Address - Country:US
Mailing Address - Phone:469-682-5733
Mailing Address - Fax:
Practice Address - Street 1:401 CENTURY PKWY # 208
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8043
Practice Address - Country:US
Practice Address - Phone:469-682-5733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)