| NPI | 1497160477 |
|---|---|
| Doing Business As | 4-WINGS TRANSPORTATION |
| Entity Type | Organization |
| Authorized Contact | SHANELL CLARK President 248-796-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2016-04-21 |