Provider Demographics
NPI:1104672146
Name:JUSTFLY TRANSPORTATION LLC
Entity type:Organization
Organization Name:JUSTFLY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIFATAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AFRAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-344-5424
Mailing Address - Street 1:3373 W SAINT GERMAIN ST APT 243
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-3733
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3373 W SAINT GERMAIN ST APT 243
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-3733
Practice Address - Country:US
Practice Address - Phone:207-344-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)