Provider Demographics
NPI:1366683070
Name:J&J TOWING LLC
Entity Type:Organization
Organization Name:J&J TOWING LLC
Other - Org Name:J&J MOBILE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-343-6610
Mailing Address - Street 1:4189 UNIVERSITY PL
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-3922
Mailing Address - Country:US
Mailing Address - Phone:313-343-6610
Mailing Address - Fax:313-343-0362
Practice Address - Street 1:4189 UNIVERSITY PL
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-3922
Practice Address - Country:US
Practice Address - Phone:313-343-6610
Practice Address - Fax:313-343-0362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJ525886209159341600000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance