| NPI | 1528443835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PEPUKAYI MAZHANGARA Director 517-203-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2019-12-11 |