Organization
GREAT LAKES SHUTTLE COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ROSS (OPERATIONS DIRECTOR)
(855) 642-7433
Entity
Organization
Contact information
Practice address
41800 HAYES RD, SUITE 527, CLINTON TOWNSHIP, MI 48038-1876
(855) 642-7433
Mailing address
41800 HAYES RD, SUITE 527, CLINTON TOWNSHIP, MI 48038-1876
(855) 642-7433
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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