LERON HARGROVE-HEAD

COUNTRY CLUB HILLS, IL
NPI1720687080
Professional NameLERON HEAD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2020-10-19
Last Update Date2020-10-19
Business Address
Mr. LERON HARGROVE-HEAD
16819 GLEN OAKS DR
COUNTRY CLUB HILLS, IL 60478-2147
Phone number: 708-966-7562
Mailing Address
Mr. LERON HARGROVE-HEAD
16819 GLEN OAKS DR
COUNTRY CLUB HILLS, IL 60478-2147
Phone number: 708-966-7562