Organization
CELESTIAL MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DWYER (DIRECTOR OF OPERATIONS)
(313) 690-8404
Entity
Organization
Contact information
Practice address
17200 W 10 MILE RD STE 103, SOUTHFIELD, MI 48075-2998
(248) 557-5788
Mailing address
47610 GRAND RIVER AVE # 1014, NOVI, MI 48374-1217
(800) 317-4371
(248) 694-0954
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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