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Tyrone Daniels

NPI #1790058006 in Homewood, Illinois

Provider Information

NPI Number
1790058006
Entity Type
Organization
Organization Name
Tyrone Daniels
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Feb 16, 2012
Last Updated
Feb 16, 2012

Practice Location

Address
1000 HOLBROOK RD
Address 2
UNIT - A
City
Homewood
State
Illinois
ZIP Code
60430-4525
Phone
(502) 457-4103

Authorized Official

Name
MR. TYRONE T DANIELS
Title
CEO/PRESIDENT
Phone
(502) 457-4103

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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