Organization
MAKE A WISH TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL HAYES (CEO)
(207) 515-8850
Entity
Organization
Contact information
Practice address
1130 N HAMLIN AVE, CHICAGO, IL 60651-3841
(207) 515-8850
Mailing address
1130 N HAMLIN AVE, CHICAGO, IL 60651-3841
(207) 515-8850
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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