Organization
GOD'S ELECT TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEON PRICE (OWNER/OPERATOR/DISPATCH)
(312) 607-8409
Entity
Organization
Contact information
Practice address
7253 S MAY ST, CHICAGO, IL 60621-1034
(312) 607-8409
(773) 874-9423
Mailing address
7253 S MAY ST, CHICAGO, IL 60621-1034
(312) 607-8409
(773) 874-9423
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7769MC
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343667486001
—
IL
Enumeration date
09/24/2013
Last updated
09/24/2013
Update your record
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