Provider Demographics
NPI:1134808520
Name:JEAN LOUIS ENTERPRISES LLC DBA JL RELIABLE TRANSPORT
Entity type:Organization
Organization Name:JEAN LOUIS ENTERPRISES LLC DBA JL RELIABLE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:844-321-1717
Mailing Address - Street 1:51 E JEFFERSON ST UNIT 2268
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32802-7596
Mailing Address - Country:US
Mailing Address - Phone:844-321-1717
Mailing Address - Fax:321-730-8118
Practice Address - Street 1:2295 S HIAWASSEE RD STE 104
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8748
Practice Address - Country:US
Practice Address - Phone:844-321-1717
Practice Address - Fax:321-730-8118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)