Organization
COASTLINE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E PECK EMT-B (PRINCIPLE MEMBER/MANAGER)
(231) 398-0360
Entity
Organization
Contact information
Practice address
1101 25TH ST, MANISTEE, MI 49660-2401
(231) 398-0360
(360) 285-8130
Mailing address
PO BOX 372, MANISTEE, MI 49660-0372
(231) 398-0360
(360) 285-8130
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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