Healthcare Provider Details

I. General information

NPI: 1407723349
Provider Name (Legal Business Name): I'LL DRIVE YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W CRYSTAL LAKE AVE APT 240A
HADDONFIELD NJ
08033-3273
US

IV. Provider business mailing address

210 W CRYSTAL LAKE AVE APT 240A
HADDONFIELD NJ
08033-3273
US

V. Phone/Fax

Practice location:
  • Phone: 609-941-4234
  • Fax:
Mailing address:
  • Phone: 609-941-4234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. FAITH GRACE MATOS
Title or Position: CEO
Credential:
Phone: 609-941-4234