| NPI | 1932651957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY JOHN THOMPSON Owner Operator 313-587-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI t512402429815) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |