Organization
EXECUTIVE BUSINESS
Active
Other names
EXECUTIVE BUSINESS TRANSPORTATION LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH TATE D.D (CEO)
(313) 315-1637
Entity
Organization
Contact information
Practice address
9555 SAINT MARYS ST, DETROIT, MI 48227-1657
(313) 315-1637
Mailing address
9555 SAINT MARYS ST, DETROIT, MI 48227-1657
(313) 315-1637
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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