Provider Demographics
NPI:1952173908
Name:SALLY JOE TRANSPORTATION
Entity Type:Organization
Organization Name:SALLY JOE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANWAWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-595-2369
Mailing Address - Street 1:3932 EVERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4662
Mailing Address - Country:US
Mailing Address - Phone:972-595-2369
Mailing Address - Fax:
Practice Address - Street 1:3932 EVERGREEN CT
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4662
Practice Address - Country:US
Practice Address - Phone:972-595-2369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle