Organization
MODERN LUXE TRANSPORTATION INC
Active
Organization
MODERN LUXE TRANSPORTATION INC
Active
Other names
Modern Luxe Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MAVERICK JOSEPH SHABA (PRESIDENT)
(248) 787-4200
Entity
Organization
Contact information
Practice address
5562 HAMPSHIRE DR, WEST BLOOMFIELD, MI 48322-1129
(248) 910-5733
Mailing address
PO BOX 250572, WEST BLOOMFIELD, MI 48325-0572
(248) 787-4200
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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