Organization
TRANSPORTATION PROVIDER NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUELLA CANTY (MANAGING MEMBER)
(248) 236-5353
Entity
Organization
Contact information
Practice address
18269 APPOLINE ST, DETROIT, MI 48235-1451
(248) 236-5353
Mailing address
18269 APPOLINE ST, DETROIT, MI 48235-1451
(248) 236-5353
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L10727
MI
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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