Organization
PEACHYKINGTRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS KING (CEO)
(773) 569-0943
Entity
Organization
Contact information
Practice address
655 MACKINAW AVE, CALUMET CITY, IL 60409-4014
(773) 569-0943
Mailing address
655 MACKINAW AVE, CALUMET CITY, IL 60409-4014
(773) 569-0943
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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