Organization
TRUST LIFE LINE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE TERRENCE MACON (OWNER)
(248) 747-1927
Entity
Organization
Contact information
Practice address
38864 EQUESTRIAN S APT 49203, FARMINGTON HILLS, MI 48331-4925
(248) 747-1927
(313) 346-7386
Mailing address
38864 EQUESTRIAN S APT 49203, FARMINGTON HILLS, MI 48331-4925
(248) 747-1927
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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