Organization
CITY OF LIVONIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JENNISON (FIRE CHIEF)
(734) 466-2444
Entity
Organization
Contact information
Practice address
14910 FARMINGTON RD, LIVONIA, MI 48154-5419
(734) 466-2444
Mailing address
14910 FARMINGTON RD, LIVONIA, MI 48154-5419
(734) 466-2444
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
088153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003919
—
MI
01
—
590H200930
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/19/2006
Last updated
02/13/2026
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