Organization
FARE TO FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH MARSHBANKS (VICE PRESIDENT)
(855) 826-3273
Entity
Organization
Contact information
Practice address
20000 VICTOR PKWY, SUITE 100, LIVONIA, MI 48152-7029
(855) 826-3273
(734) 953-1743
Mailing address
20000 VICTOR PKWY, SUITE 100, LIVONIA, MI 48152-7029
(855) 826-3273
(734) 953-1743
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
CE67899
MI
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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