Organization
HIS GLORY TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DECENNA ALLEN (OWNER/OPERATOR)
(847) 852-6166
Entity
Organization
Contact information
Practice address
718 HAWTHORNE LN, GENOA, IL 60135-7528
(847) 852-6166
Mailing address
718 HAWTHORNE LN, GENOA, IL 60135-7528
(847) 852-6166
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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