Organization
ANGEL'S SECRET TRANSPORTATION
Active
Organization
ANGEL'S SECRET TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ZYDORCZYK I (OWNER)
(419) 304-1197
Entity
Organization
Contact information
Practice address
10335 KEENEY ST, ERIE, MI 48133-9787
(734) 317-7154
Mailing address
10335 KEENEY ST, ERIE, MI 48133-9787
(734) 317-7154
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
Q588562
OH
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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