NPI 1104276377

Jae's Transportaion LLC

Organisation Non-emergency Medical Transport (VAN) Caldwell, ID

Practice location

Address: 14310 Tara St, Caldwell, ID 83607-1431
Phone: (208) 577-1337

Authorised official

Name: Justin M Kudlacz
Title: Owner
Phone: (208) 577-1337

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X Licence BB237706C (ID)

Other Non-emergency Medical Transport (VAN) providers in Idaho →

Registry record

NPI: 1104276377
Entity type: Organization
NPI issued: 17 Jun 2016
Record last updated: 17 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.