MEDICARE: WILL LOGISTICS 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)
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1093593246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILL LOGISTICS LLC

Provider Business Mailing Address
First Line	:	3219 RUFFIN GREEN CT
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-8773
Country	:	US
Telephone Number	:	281-797-1557
Fax Number	:

Provider Business Practice Location Address
First Line	:	3219 RUFFIN GREEN CT
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-8773
Country	:	US
Telephone Number	:	281-797-1557
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JARRETT JAMES WILLIAMS SR.
Credential	:
Telephone Number	:	281-783-9122

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	04/08/2024

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Directions to “WILL LOGISTICS LLC ” Practice Location

Language	Start Address	Practice Location

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