| NPI | 1417217423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED MOHAMED Owner 313-799-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI 2642) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |