Organization
MARION JACKSON ENTERPRISES INC
Active
Other names
New Providence Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARION HOWARD JACKSON JR. (PRESIDENT)
(708) 362-9032
Entity
Organization
Contact information
Practice address
1806 SOUTH CHICAGO ROAD, CHICAGO HEIGHTS, IL 60411
(708) 362-9032
Mailing address
1523 DUNFRIES ST, FLOSSMOOR, IL 60422
(708) 960-4700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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