| NPI | 1801662853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M DISMUKE Authorized Official 248-906-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |