Provider Demographics
NPI:1245923051
Name:DRJ TRANSPORTATION LLC
Entity type:Organization
Organization Name:DRJ TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LECIESHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-210-1128
Mailing Address - Street 1:1948 TRENT WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46614-2245
Mailing Address - Country:US
Mailing Address - Phone:574-210-1128
Mailing Address - Fax:
Practice Address - Street 1:1948 TRENT WAY
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46614-2245
Practice Address - Country:US
Practice Address - Phone:574-210-1128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)