Organization
SAFEWAY TRANSIT AND AMBULANCE SERVICE, INC
Active
Parent organization
D'VINE TRANSPORTATION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
D'VINE TRANSPORTATION, INC
Authorized official
KIMMYATTA JOHNSON-THURMON (OWNER/PARTNER)
(888) 929-8728
Entity
Organization
Contact information
Practice address
219 E 170TH ST, SOUTH HOLLAND, IL 60473-3309
(708) 372-0466
Mailing address
219 E 170TH ST, SOUTH HOLLAND, IL 60473-3309
(708) 372-0466
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
362082201
IL
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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