Organization
LW TRANSPORTATION INC. NON EMERGENCY TRANSPORTATION PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANDA WALLACE (CEO)
(773) 391-6689
Entity
Organization
Contact information
Practice address
1617 W 93RD ST, CHICAGO, IL 60620-5110
(773) 391-6689
(773) 233-8974
Mailing address
1617 W 93RD ST, CHICAGO, IL 60620-5110
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
W42053371706
IL
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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