Healthcare Provider Details

I. General information

NPI: 1023376837
Provider Name (Legal Business Name): AJF AT YOUR SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 POST RD
WARWICK RI
02886-2214
US

IV. Provider business mailing address

2575 POST RD
WARWICK RI
02886-2214
US

V. Phone/Fax

Practice location:
  • Phone: 401-739-1900
  • Fax:
Mailing address:
  • Phone: 401-739-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number05
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number343900000X
License Number StateRI

VIII. Authorized Official

Name: ANNMARIE FERRI
Title or Position: DRIVER
Credential: LIVERY SERVICE
Phone: 401-739-1900