Provider Demographics
NPI:1487205027
Name:BABILA JORDAN NON-MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BABILA JORDAN NON-MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANSOM
Authorized Official - Middle Name:F
Authorized Official - Last Name:BABILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-382-0511
Mailing Address - Street 1:16730 SWEENEY LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4765
Mailing Address - Country:US
Mailing Address - Phone:571-382-0511
Mailing Address - Fax:
Practice Address - Street 1:16730 SWEENEY LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-4765
Practice Address - Country:US
Practice Address - Phone:571-382-0511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)