Provider Demographics
NPI:1366955171
Name:MANDEVILLE CAB CO LLC
Entity type:Organization
Organization Name:MANDEVILLE CAB CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-237-9664
Mailing Address - Street 1:253 W CAUSEWAY APPROACH
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-3032
Mailing Address - Country:US
Mailing Address - Phone:985-705-4222
Mailing Address - Fax:985-727-5541
Practice Address - Street 1:253 W CAUSEWAY APPROACH
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-3032
Practice Address - Country:US
Practice Address - Phone:985-705-4222
Practice Address - Fax:985-727-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi