Organization
PRESTIGIOUS TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYNA LANIA ANDERSON (OWNER)
(586) 329-1221
Entity
Organization
Contact information
Practice address
22931 N.NUNNELEY APT. 203, CLINTON TOWNSHIP, MI 48036
(313) 978-0438
(586) 329-1221
Mailing address
22931 N.NUNNELEY APT. 203, CLINTON TOWNSHIP, MI 48036
(313) 978-0438
(586) 329-1221
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427368992
—
MI
Enumeration date
10/18/2010
Last updated
10/27/2010
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