Organization
BG GENERAL & CUSTOM SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENIGNO GARCIA (OWNER)
(217) 766-0695
Entity
Organization
Contact information
Practice address
3343 STONEWAY CT, CHAMPAIGN, IL 61822-2404
(217) 766-0695
Mailing address
3343 STONEWAY CT, CHAMPAIGN, IL 61822-2404
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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