Provider Demographics
NPI:1194270355
Name:JENLEI MAJESTIC TRANSPORTATION
Entity type:Organization
Organization Name:JENLEI MAJESTIC TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:NDANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-419-1294
Mailing Address - Street 1:2305 SE 5TH TER
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1057
Mailing Address - Country:US
Mailing Address - Phone:816-419-1294
Mailing Address - Fax:
Practice Address - Street 1:2305 SE 5TH TER
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1057
Practice Address - Country:US
Practice Address - Phone:816-419-1294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)