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Organization

GENESIS GLOBAL TRANSPORTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA J BLOUNT (ADMIN.)
(872) 802-6667
Entity
Organization

Contact information

Practice address
4655 S LAKE PARK AVE APT 320, CHICAGO, IL 60653-4534
(872) 802-6667
Mailing address
4655 S LAKE PARK AVE APT 320, CHICAGO, IL 60653-4534
(872) 802-6667

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/24/2020
Last updated
06/24/2020
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