| NPI | 1417407552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH CLARK Owner 989-738-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: MI MDOT 1005) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |