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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