Healthcare Provider Details

I. General information

NPI: 1043406093
Provider Name (Legal Business Name): JUST 4 U TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2007
Last Update Date: 09/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 ROLLING ROCK CV
CORDOVA TN
38018-7511
US

IV. Provider business mailing address

670 ROLLING ROCK CV
CORDOVA TN
38018-7511
US

V. Phone/Fax

Practice location:
  • Phone: 901-289-4153
  • Fax:
Mailing address:
  • Phone: 901-289-4153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MRS. PEGGY JOHNSON
Title or Position: PRINCIPAL OWNER
Credential:
Phone: 901-289-4153