MEDICARE: LUVI ENTERPRISES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	926431646	AR

General Provider Information

NPI Number	:	1558717322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUVI ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	1406 INGRAM ST
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-6208
Country	:	US
Telephone Number	:	479-283-9776
Fax Number	:	479-419-4050

Provider Business Practice Location Address
First Line	:	1406 INGRAM ST
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-6208
Country	:	US
Telephone Number	:	479-283-9776
Fax Number	:	479-419-4050

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS ALONSO VILLEGAS
Credential	:
Telephone Number	:	479-283-9776

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	05/10/2016

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