| NPI | 1942752746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD PAYNE Transporter 313-574-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI P500744014148) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |