Organization
RIGHT WAY CONVOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CASTER (DIRECTOR)
(501) 539-5015
Entity
Organization
Contact information
Practice address
16581 FREELAND ST, DETROIT, MI 48235-4058
(501) 539-5015
Mailing address
1135 S MAIN ST STE 215, BOWLING GREEN, OH 43402-4750
(501) 539-5015
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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