Organization
BOAN RIDE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLANIYI OLADELE (OWNER)
(773) 319-9476
Entity
Organization
Contact information
Practice address
10653 W 154TH ST, ORLAND PARK, IL 60462-6036
(773) 319-9476
Mailing address
10653 W 154TH ST, ORLAND PARK, IL 60462-6036
(773) 319-9476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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