Organization
JOLLY TRANSPORT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY S DELA CRUZ (CORPORATE SECRETARY/COO)
(626) 224-1848
Entity
Organization
Contact information
Practice address
269 EVERGREEN CT, AZUSA, CA 91702-6220
(323) 828-5658
Mailing address
269 EVERGREEN CT, AZUSA, CA 91702-6220
(323) 828-5658
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
12/21/2017
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