Organization
SCE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESHEANDA INGRAM (OWNER)
(815) 914-4880
Entity
Organization
Contact information
Practice address
3751 NORTHLINE DR, ROCKFORD, IL 61101-9554
(779) 513-2189
Mailing address
3751 NORTHLINE DR, ROCKFORD, IL 61101-9554
(779) 513-2189
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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