Provider Demographics
NPI:1558065532
Name:JOURNEY TRANSIT AND TRAVEL, LLC
Entity Type:Organization
Organization Name:JOURNEY TRANSIT AND TRAVEL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:REKASHA
Authorized Official - Last Name:GRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-551-2679
Mailing Address - Street 1:1302 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-4536
Mailing Address - Country:US
Mailing Address - Phone:601-551-1795
Mailing Address - Fax:
Practice Address - Street 1:1302 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-4536
Practice Address - Country:US
Practice Address - Phone:601-551-1795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)