The Mahogany Berry LLC
NPI #1669298121 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1669298121
- Entity Type
- Organization
- Organization Name
- The Mahogany Berry LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 1425 SCHOENHERR AVE
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60490-3216
- Phone
- (619) 204-7688
Authorized Official
- Name
- MR. DAMIEN JAMAR WOODBURY
- Title
- OWNER
- Phone
- (619) 204-7688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Transportation Network Company |
| Non-emergency Medical Transport (VAN) |
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