Provider Demographics
NPI:1801484829
Name:JODELLS TRANSPORTATION COMPANY LLC
Entity type:Organization
Organization Name:JODELLS TRANSPORTATION COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUEBERTHA
Authorized Official - Middle Name:COMPANY
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-623-3752
Mailing Address - Street 1:5815 MARKET ST STE 6
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2915
Mailing Address - Country:US
Mailing Address - Phone:330-953-0085
Mailing Address - Fax:330-953-1801
Practice Address - Street 1:5815 MARKET ST STE 6
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-2915
Practice Address - Country:US
Practice Address - Phone:330-953-0085
Practice Address - Fax:330-953-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)