Organization
EASY RIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SCOTT LEWIS III (CEO)
(313) 808-5898
Entity
Organization
Contact information
Practice address
11726 ROSEMARY ST, DETROIT, MI 48213-1349
(313) 808-5898
Mailing address
11726 ROSEMARY ST, DETROIT, MI 48213-1349
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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