Organization
LIFTED LIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT DEVILLE (OWNER)
(337) 280-8336
Entity
Organization
Contact information
Practice address
111 WINDMILL LN, LAFAYETTE, LA 70501-1753
(337) 280-8336
Mailing address
PO BOX 92022, LAFAYETTE, LA 70509-2022
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
008267863
LA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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