Organization
YOUR DESTINATION TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA J BOYD (OWNER)
(708) 629-0486
Entity
Organization
Contact information
Practice address
5044 W 127TH ST, ALSIP, IL 60803-3213
(708) 629-0486
(708) 629-0487
Mailing address
5044 W 127TH ST, ALSIP, IL 60803-3213
(708) 629-0486
(708) 629-0487
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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