| NPI | 1760846398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L LEMUS Owner 313-273-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI G656802506749) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2016-04-10 |