Healthcare Provider Details

I. General information

NPI: 1154986586
Provider Name (Legal Business Name): M&J TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 CROSSFIELD CV
MEMPHIS TN
38109-6932
US

IV. Provider business mailing address

888 CROSSFIELD CV
MEMPHIS TN
38109-6932
US

V. Phone/Fax

Practice location:
  • Phone: 662-671-2695
  • Fax:
Mailing address:
  • Phone: 662-671-2695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: JUANITA M SEALS-JONES
Title or Position: C.E.O.
Credential:
Phone: 662-671-2695