Organization
MIDWEST MEDICAL TRANSPORTATION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEANINE RASHONDA JACKSON (OWNER/OPERATOR)
(248) 278-2477
Entity
Organization
Contact information
Practice address
995 N. PONTIAC TRAIL, WALLED LAKE, MI 48390-3323
(248) 278-2477
Mailing address
995 N. PONTIAC TRAIL, P.O. BOX # 57, WALLED LAKE, MI 48390-3323
(248) 278-2477
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/19/2023
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