Organization
DJ TRANSIT, INC.
Active
Other names
DJ Transit, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DESHELLA BUTLER (EXECUTIVE DIRECTOR)
(601) 682-0701
Entity
Organization
Contact information
Practice address
1125 W 10TH ST, LAUREL, MS 39440-2623
(601) 682-0701
Mailing address
1125 W 10TH ST, LAUREL, MS 39440-2623
(601) 682-0701
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NOT APPLICABLE
—
Enumeration date
05/14/2018
Last updated
05/14/2018
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