Organization
MEDIVAN LLC
Active
Other names
The Medivan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAIN F. MCKENDRICK (OWNER, OFFICIAL SIGNER)
(810) 338-0353
Entity
Organization
Contact information
Practice address
520 BEAVER AVE, ROYAL OAK, MI 48073-4128
(810) 338-0353
Mailing address
520 BEAVER AVE, ROYAL OAK, MI 48073-4128
(810) 338-0353
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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