Provider Demographics
NPI:1477381812
Name:JOLLIES LLC
Entity type:Organization
Organization Name:JOLLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-815-5586
Mailing Address - Street 1:21035 N MIAMI AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2209
Mailing Address - Country:US
Mailing Address - Phone:305-814-1435
Mailing Address - Fax:
Practice Address - Street 1:21035 N MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2209
Practice Address - Country:US
Practice Address - Phone:305-814-1435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company