Provider Demographics
NPI:1528610169
Name:BDL LIVERY LLC
Entity type:Organization
Organization Name:BDL LIVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-306-8951
Mailing Address - Street 1:20 OLD COUNTY RD STE 8
Mailing Address - Street 2:
Mailing Address - City:WINDSOR LOCKS
Mailing Address - State:CT
Mailing Address - Zip Code:06096-1557
Mailing Address - Country:US
Mailing Address - Phone:860-869-5515
Mailing Address - Fax:860-566-8667
Practice Address - Street 1:624 TALCOTTVILLE RD STE 6
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-2390
Practice Address - Country:US
Practice Address - Phone:860-869-5515
Practice Address - Fax:860-566-8667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-14
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi