Organization
JORDAN 1 TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANEEM L AL NIMRI (OWNER)
(602) 579-7468
Entity
Organization
Contact information
Practice address
6833 W ALTA VISTA RD, LAVEEN, AZ 85339-2663
(602) 579-7468
Mailing address
6833 W ALTA VISTA RD, LAVEEN, AZ 85339-2663
(602) 579-7468
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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