Organization
MICHIGAN TRANSPORT AND LOGISTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAJKEASE DAVIS (OWNER)
(313) 409-5263
Entity
Organization
Contact information
Practice address
5262 LAKEWOOD ST, DETROIT, MI 48213-3735
(313) 409-5263
Mailing address
5262 LAKEWOOD ST, DETROIT, MI 48213-3735
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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