Provider Demographics
NPI:1063252740
Name:MERLINES TRANSPORTATION LLC
Entity type:Organization
Organization Name:MERLINES TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAJOURNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTENETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-680-8410
Mailing Address - Street 1:5858 PINEWOOD DR W
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-7578
Mailing Address - Country:US
Mailing Address - Phone:337-680-8410
Mailing Address - Fax:
Practice Address - Street 1:5858 PINEWOOD DR W
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-7578
Practice Address - Country:US
Practice Address - Phone:337-680-8410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)