| NPI | 1538939111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEASHA DAVIS Owner 734-413-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 251B00000X Case Management | |
| 261QG0250X Clinic/Center, Genetics | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-10-03 |