Organization
AFFINITY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFAMEFUNA A JASPER-DURUZOR (OWNER/MANAGER)
(480) 734-9544
Entity
Organization
Contact information
Practice address
20884 BARKER ST, LYNWOOD, IL 60411-8727
(480) 734-9544
Mailing address
20884 BARKER ST, LYNWOOD, IL 60411-8727
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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