Provider Demographics
NPI:1154836260
Name:J AND J SENIOR SERVICE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:J AND J SENIOR SERVICE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALDAMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-459-0524
Mailing Address - Street 1:97 FERNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-3484
Mailing Address - Country:US
Mailing Address - Phone:617-459-0524
Mailing Address - Fax:
Practice Address - Street 1:22 WILLOW ST
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3506
Practice Address - Country:US
Practice Address - Phone:857-236-0862
Practice Address - Fax:857-236-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)