# SAFEWAY TRANSIT AND AMBULANCE SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** D'VINE TRANSPORTATION, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396050456
- **Legal business name:** D'VINE TRANSPORTATION, INC
- **Authorized official:** KIMMYATTA JOHNSON-THURMON (OWNER/PARTNER)
- **Authorized official phone:** (888) 929-8728

## Contact information

- **Practice address:** 219 E 170TH ST, SOUTH HOLLAND, IL 60473-3309
- **Practice address phone:** (708) 372-0466
- **Mailing address:** 219 E 170TH ST, SOUTH HOLLAND, IL 60473-3309
- **Mailing address phone:** (708) 372-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 362082201 | IL | Yes |

## Other

- **Enumeration date:** 08/13/2010
- **Last updated:** 08/13/2010