Organization
TENDER NEEDS TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOSEPH SOCOTCH (PRESIDENT/ OWNER)
(313) 294-9470
Entity
Organization
Contact information
Practice address
720 FORD BLVD, LINCOLN PARK, MI 48146-4397
(313) 294-9470
(313) 294-9472
Mailing address
720 FORD BLVD, LINCOLN PARK, MI 48146-4397
(313) 294-9470
(313) 294-9472
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L2469
MI
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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