=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154133023
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INCLUSIVE JOURNEY SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2025
-----------------------------------------------------
Last Update Date | 01/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 39 CHELSEA CIR
-----------------------------------------------------
City | CLEMENTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08021-4235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-619-4321
-----------------------------------------------------
Fax | 856-619-4321
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 39 CHELSEA CIR
-----------------------------------------------------
City | CLEMENTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08021-4235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-619-4321
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAMAR AMIN RANSOME
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 856-619-5431
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------