Provider Demographics
NPI:1780219311
Name:HAJMOUD TRANSPORTATION LLC
Entity Type:Organization
Organization Name:HAJMOUD TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HAJI
Authorized Official - Middle Name:Z
Authorized Official - Last Name:SACCOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-476-9385
Mailing Address - Street 1:3212 REED ST APT 2734
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1553
Mailing Address - Country:US
Mailing Address - Phone:240-476-9385
Mailing Address - Fax:
Practice Address - Street 1:3212 REED ST APT 2734
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20706-1553
Practice Address - Country:US
Practice Address - Phone:240-476-9385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)