Provider Demographics
NPI:1407723349
Name:I'LL DRIVE YOU LLC
Entity type:Organization
Organization Name:I'LL DRIVE YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-941-4234
Mailing Address - Street 1:210 W CRYSTAL LAKE AVE APT 240A
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-3273
Mailing Address - Country:US
Mailing Address - Phone:609-941-4234
Mailing Address - Fax:
Practice Address - Street 1:210 W CRYSTAL LAKE AVE APT 240A
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-3273
Practice Address - Country:US
Practice Address - Phone:609-941-4234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty