Organization
SECOND HOME TRANSPORTATION LLC
Active
Other names
Second Home Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NUR M FARAH (CEO)
(612) 205-7083
Entity
Organization
Contact information
Practice address
6333 N CLARK ST, CHICAGO, IL 60660-1216
(612) 205-7083
Mailing address
6333 N CLARK ST, CHICAGO, IL 60660-1216
(612) 205-7083
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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