Provider Demographics
NPI:1174798631
Name:JYL TRANSPORTATION, INC.
Entity type:Organization
Organization Name:JYL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LIBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-745-7752
Mailing Address - Street 1:64 MAIN ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SPENCER
Mailing Address - State:MA
Mailing Address - Zip Code:01562-2140
Mailing Address - Country:US
Mailing Address - Phone:774-745-7752
Mailing Address - Fax:774-745-7753
Practice Address - Street 1:64 MAIN ST
Practice Address - Street 2:SUITE 305
Practice Address - City:SPENCER
Practice Address - State:MA
Practice Address - Zip Code:01562-2140
Practice Address - Country:US
Practice Address - Phone:774-745-7752
Practice Address - Fax:774-745-7753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)