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Organization

STRAIGHTWAY TRANSPORTATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMAD IBRAHIM KAZAN PRESIDENT (PRESIDENT)
(313) 477-6666
Entity
Organization

Contact information

Practice address
6499 ANNE WAY, DEARBORN HEIGHTS, MI 48127-2301
(313) 477-6666
Mailing address
26200 FORD RD UNIT 562, DEARBORN HEIGHTS, MI 48127-4327
(313) 477-6666

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L10566
MI

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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