MEDICARE: NJD TRANSPORTATION SERVICES

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1891001525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NJD TRANSPORTATION SERVICES

Provider Business Mailing Address
First Line	:	6539 HOLLOW OAKS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77050-3717
Country	:	US
Telephone Number	:	281-309-8124
Fax Number	:

Provider Business Practice Location Address
First Line	:	7302 COLTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-3404
Country	:	US
Telephone Number	:	281-309-8124
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ACCIE SMITH
Credential	:
Telephone Number	:	281-309-8124

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	08/18/2010

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Directions to “NJD TRANSPORTATION SERVICES ” Practice Location

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