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Organization

BELLS HAVEN TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELSEE MCGOWAN (PRESIDENT)
(872) 803-2130
Entity
Organization

Contact information

Practice address
3960 W GRAND AVE, CHICAGO, IL 60651-2014
(872) 803-2130
Mailing address
3960 W GRAND AVE, CHICAGO, IL 60651-2014
(872) 803-2130

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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