Organization
SKY LANSING
Active
Other names
WELLCARE TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
MD NIZAMUL ISLAM (CEO)
(586) 237-9415
Entity
Organization
Contact information
Practice address
37663 EVERGREEN DR, STERLING HEIGHTS, MI 48310-3929
(586) 237-9415
Mailing address
37663 EVERGREEN DR, STERLING HEIGHTS, MI 48310-3929
(586) 237-9415
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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