| NPI | 1508124454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE BOTHUELL CEO 248-979-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2012-04-29 |