Organization
CARAVAN LLC
Active
Organization
CARAVAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHANI MOHAMED (OWNER)
(313) 751-0073
Entity
Organization
Contact information
Practice address
14319 MICHIGAN AVE, DEARBORN, MI 48126-3416
(313) 751-0073
Mailing address
4684 WALWIT ST, DEARBORN, MI 48126-4627
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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