Organization
JAYTRUST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALIEKE BENJAMIN THOMAS JR. (OWNER)
(773) 574-8679
Entity
Organization
Contact information
Practice address
408 BENSLEY AVE, CALUMET CITY, IL 60409-2390
(773) 574-8679
Mailing address
408 BENSLEY AVE, CALUMET CITY, IL 60409-2390
(773) 574-8679
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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