Organization
BOW TIE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FAVORS (OWNER)
(313) 978-5164
Entity
Organization
Contact information
Practice address
18137 DEQUINDRE ST, DETROIT, MI 48234-1201
(313) 978-5164
Mailing address
18137 DEQUINDRE ST, DETROIT, MI 48234-1201
(313) 978-5164
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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