Provider Demographics
NPI:1578165841
Name:OLLARRY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:OLLARRY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BABAFEMI
Authorized Official - Middle Name:ISAAC
Authorized Official - Last Name:OYELEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-707-0237
Mailing Address - Street 1:6920 SCOTCH DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5321
Mailing Address - Country:US
Mailing Address - Phone:443-707-0237
Mailing Address - Fax:443-707-0237
Practice Address - Street 1:6920 SCOTCH DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5321
Practice Address - Country:US
Practice Address - Phone:443-707-0237
Practice Address - Fax:443-707-0237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4578524Medicaid