| NPI | 1164975504 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PRESTON DIMITERIES JONES Manager 248-943-2644  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) | 
| Enumeration Date | 2016-08-02 | 
| Last Update Date | 2016-08-02 |