Provider Demographics
NPI:1073200317
Name:IN A JIFFY COURIER AND TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:IN A JIFFY COURIER AND TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRELLE
Authorized Official - Middle Name:DEVON
Authorized Official - Last Name:MCCLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-822-9162
Mailing Address - Street 1:3915 WEBB CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-1645
Mailing Address - Country:US
Mailing Address - Phone:803-210-1294
Mailing Address - Fax:
Practice Address - Street 1:3915 WEBB CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1645
Practice Address - Country:US
Practice Address - Phone:803-714-3627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle