Organization
SANDRA AND SON TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTELL EUGENE CHARLES JACKSON (CEO)
(219) 902-0139
Entity
Organization
Contact information
Practice address
2957 W 19TH PL, GARY, IN 46404-2655
(219) 902-0139
Mailing address
2957 W 19TH PL, GARY, IN 46404-2655
(219) 902-0139
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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