MEDICARE: THE WAY TO GO 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1578918256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WAY TO GO LLC

Provider Business Mailing Address
First Line	:	6715 OVERLOOK RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3112
Country	:	US
Telephone Number	:	251-454-1690
Fax Number	:

Provider Business Practice Location Address
First Line	:	6715 OVERLOOK RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3112
Country	:	US
Telephone Number	:	251-454-1690
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARKELL JONES
Credential	:
Telephone Number	:	251-454-1690

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	04/29/2016

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Directions to “THE WAY TO GO LLC ” Practice Location

Language	Start Address	Practice Location

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