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Organization

LYFE LEAGUE, LLC.

Active
Other names
Lyfe Transport Services
Organization subpart
No

Provider details

NPI number
Authorized official
MISS AISHA WALDRUP (OWNER/ADMINSTRATOR)
(281) 901-4306
Entity
Organization

Contact information

Practice address
7203 OAKWOOD GLEN BLVD. UNIT 101, SPRING, TX 77379
(281) 940-5933
Mailing address
7203 OAKWOOD GLEN BLVD. UIT 101, SPRING, TX 77379

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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