Provider Demographics
NPI:1417780552
Name:RAULS LOGISTICS 'LLC'
Entity type:Organization
Organization Name:RAULS LOGISTICS 'LLC'
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAMONICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAULS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-643-7369
Mailing Address - Street 1:16204 N SARDIS RD
Mailing Address - Street 2:
Mailing Address - City:MABELVALE
Mailing Address - State:AR
Mailing Address - Zip Code:72103-4054
Mailing Address - Country:US
Mailing Address - Phone:870-643-7369
Mailing Address - Fax:
Practice Address - Street 1:16204 N SARDIS RD
Practice Address - Street 2:
Practice Address - City:MABELVALE
Practice Address - State:AR
Practice Address - Zip Code:72103-4054
Practice Address - Country:US
Practice Address - Phone:870-643-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)