MEDICARE: JALE TRANSPORTATION LLC

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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1578360178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JALE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	3739 S PACKARD AVE APT 104
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53235-4319
Country	:	US
Telephone Number	:	414-399-5235
Fax Number	:

Provider Business Practice Location Address
First Line	:	3739 S PACKARD AVE APT 104
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53235-4319
Country	:	US
Telephone Number	:	414-399-5235
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	MOHAMED ABDI HUSEIN
Credential	:
Telephone Number	:	414-399-5235

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	03/01/2025

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Directions to “JALE TRANSPORTATION LLC ” Practice Location

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