Organization
VICTORY TRANSPORT LLC
Active
Parent organization
VICTORY AFC I, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VICTORY AFC I, LLC
Authorized official
MS. TANISHA L. JOHNSON (OWNER)
(989) 971-9333
Entity
Organization
Contact information
Practice address
14 VICTORY CT, SAGINAW, MI 48602-3119
(989) 971-9333
Mailing address
14 VICTORY CT, SAGINAW, MI 48602-3119
(989) 971-9333
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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