Provider Demographics
NPI:1689446205
Name:JAMAL VENTURES
Entity Type:Organization
Organization Name:JAMAL VENTURES
Other - Org Name:JAMAL VENTURES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMOLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOJOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-531-0009
Mailing Address - Street 1:618 ELLWOOD TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3080
Mailing Address - Country:US
Mailing Address - Phone:301-531-0009
Mailing Address - Fax:
Practice Address - Street 1:618 ELLWOOD TERRACE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3080
Practice Address - Country:US
Practice Address - Phone:301-531-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)