Organization
DOMINION TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD KELLEM (PRESIDENT)
(313) 471-1670
Entity
Organization
Contact information
Practice address
8305 WHITCOMB ST, DETROIT, MI 48228-5701
(313) 471-1670
(313) 887-9952
Mailing address
8305 WHITCOMB ST, DETROIT, MI 48228-5701
(313) 471-1670
(313) 887-9952
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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