Provider Demographics
NPI:1417799123
Name:DAVIS DEVINE SERVICES LLC
Entity type:Organization
Organization Name:DAVIS DEVINE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHYSHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-623-8223
Mailing Address - Street 1:1305 N MILLET AVE
Mailing Address - Street 2:
Mailing Address - City:GRAMERCY
Mailing Address - State:LA
Mailing Address - Zip Code:70052-3047
Mailing Address - Country:US
Mailing Address - Phone:225-623-8223
Mailing Address - Fax:
Practice Address - Street 1:1305 N MILLET AVE
Practice Address - Street 2:
Practice Address - City:GRAMERCY
Practice Address - State:LA
Practice Address - Zip Code:70052-3047
Practice Address - Country:US
Practice Address - Phone:225-623-8223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)