Provider Demographics
NPI:1871984849
Name:TWN DEVELOPMENT, INC.
Entity type:Organization
Organization Name:TWN DEVELOPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-400-4108
Mailing Address - Street 1:3350 W 159TH ST
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-4045
Mailing Address - Country:US
Mailing Address - Phone:708-400-4108
Mailing Address - Fax:
Practice Address - Street 1:3350 W 159TH ST
Practice Address - Street 2:
Practice Address - City:MARKHAM
Practice Address - State:IL
Practice Address - Zip Code:60428-4045
Practice Address - Country:US
Practice Address - Phone:708-400-4108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILM25282567238343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)