Provider Demographics
NPI:1710447073
Name:JABI HOLDINGS LLC
Entity Type:Organization
Organization Name:JABI HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SELASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKELOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-342-5224
Mailing Address - Street 1:1021 BRUNI CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1321
Mailing Address - Country:US
Mailing Address - Phone:844-342-5224
Mailing Address - Fax:
Practice Address - Street 1:1021 BRUNI CT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TX
Practice Address - Zip Code:76227-1321
Practice Address - Country:US
Practice Address - Phone:844-342-5224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle