| NPI | 1508495110 |
|---|---|
| Other Name | TRANSPORT AGENT |
| Entity Type | Organization |
| Authorized Contact | CHASE INGERSOLL Managing Member 734-548-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |