NPI 1205658887
Omoba Luxury Transit LLC
Practice location
- Address
- 16110 Woodlawn East Ave, South Holland, IL 60473-1852
- Phone
- (312) 890-1006
Authorised official
- Name
- Onoriode Omoba Audu
- Title
- Owner/Operator
- Phone
- (312) 890-1006
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1205658887
- Entity type
- Organization
- NPI issued
- 25 Oct 2024
- Record last updated
- 25 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.