Provider Demographics
NPI:1003216631
Name:1ST LOVE TRANSPORTATION COMPANY
Entity Type:Organization
Organization Name:1ST LOVE TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LACHRISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:708-331-4507
Mailing Address - Street 1:15544 CALUMET DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-1315
Mailing Address - Country:US
Mailing Address - Phone:708-331-4507
Mailing Address - Fax:
Practice Address - Street 1:15544 CALUMET DR
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-1315
Practice Address - Country:US
Practice Address - Phone:708-331-4507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)