Provider Demographics
NPI:1396113411
Name:ALTON LEE TRANSPORTATION LLC
Entity type:Organization
Organization Name:ALTON LEE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALTON
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-452-2022
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-0295
Mailing Address - Country:US
Mailing Address - Phone:318-452-2022
Mailing Address - Fax:318-435-9108
Practice Address - Street 1:1345 HIGHWAY 865
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-5131
Practice Address - Country:US
Practice Address - Phone:318-452-2022
Practice Address - Fax:318-435-9108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA007141010343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)