Provider Demographics
NPI:1740741784
Name:JENNY & MARV'S TRANSPORTATION ANGELS
Entity Type:Organization
Organization Name:JENNY & MARV'S TRANSPORTATION ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHYQUETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-988-3385
Mailing Address - Street 1:5007 HIGGINS ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3529
Mailing Address - Country:US
Mailing Address - Phone:910-988-3385
Mailing Address - Fax:
Practice Address - Street 1:5007 HIGGINS ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3529
Practice Address - Country:US
Practice Address - Phone:910-988-3385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-30
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)