MEDICARE: AJ RELIABLE TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1316780950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJ RELIABLE TRANSPORTATION

Provider Business Mailing Address
First Line	:	2550 AKERS MILL RD SE APT N19
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3281
Country	:	US
Telephone Number	:	678-744-4461
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 AKERS MILL RD SE APT N19
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3281
Country	:	US
Telephone Number	:	678-744-4461
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PRISCILLA RACHALLE JONES
Credential	:
Telephone Number	:	678-744-4461

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	06/13/2024

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