| NPI | 1508639576 |
|---|---|
| Doing Business As | SJ&JR |
| Entity Type | Organization |
| Authorized Contact | SHANTIL R RILEY Driver 225-692-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |