Organization
RISE AN SHINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY RANDALL (OWNER)
(313) 825-5411
Entity
Organization
Contact information
Practice address
6538 VAUGHAN ST, DETROIT, MI 48228-4942
(313) 825-5411
Mailing address
6538 VAUGHAN ST, DETROIT, MI 48228-4942
(313) 825-5411
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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