Organization
ASA DIRECT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN W RAY (OWNER)
(708) 808-0717
Entity
Organization
Contact information
Practice address
840 ELDER RD APT 308, HOMEWOOD, IL 60430-2556
(708) 808-0717
Mailing address
840 ELDER RD APT 308, HOMEWOOD, IL 60430-2556
(708) 808-0717
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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