Provider Demographics
NPI:1760027536
Name:AJM LIFT SERVICES LLC
Entity Type:Organization
Organization Name:AJM LIFT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-204-0453
Mailing Address - Street 1:410 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-2121
Mailing Address - Country:US
Mailing Address - Phone:419-204-0453
Mailing Address - Fax:
Practice Address - Street 1:410 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-2121
Practice Address - Country:US
Practice Address - Phone:419-204-0453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty