Organization
JORDAN TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE AMAIREH (CEO)
(909) 605-3855
Entity
Organization
Contact information
Practice address
1070 W ARROW HWY APT B, UPLAND, CA 91786-4459
(909) 605-3855
Mailing address
1070 W ARROW HWY APT B, UPLAND, CA 91786-4459
(909) 605-3855
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-497185
NON-EMERGENCY MEDICAL TRANSPORTATION
CA
Enumeration date
04/29/2019
Last updated
04/29/2019
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