Provider Demographics
NPI:1902651516
Name:JJL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:JJL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULMIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-222-6330
Mailing Address - Street 1:200 OAK MANOR DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-0232
Mailing Address - Country:US
Mailing Address - Phone:678-222-6330
Mailing Address - Fax:
Practice Address - Street 1:200 OAK MANOR DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-0232
Practice Address - Country:US
Practice Address - Phone:678-222-6330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)