| NPI | 1134692734 |
|---|---|
| Other Name | BLK NON MEDICAL TRANSPORTATION |
| Entity Type | Organization |
| Authorized Contact | IVY GREGORY Co Owner 313-333-3952 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-04-16 |